CN117751181A - Chimeric antigen receptor T cells - Google Patents

Chimeric antigen receptor T cells Download PDF

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CN117751181A
CN117751181A CN202280044139.9A CN202280044139A CN117751181A CN 117751181 A CN117751181 A CN 117751181A CN 202280044139 A CN202280044139 A CN 202280044139A CN 117751181 A CN117751181 A CN 117751181A
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cell
mait
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徐晓宁
马伟伟
钱宇新
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Imperial College Of Technology Ltd
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Imperial College Of Technology Ltd
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Abstract

The present invention relates to Chimeric Antigen Receptor (CAR) T cells and in particular, but not exclusively, to their use in immunotherapy, and for the treatment, prevention or amelioration of cancer (e.g. T cell lymphoma), various microbial infections (e.g. HIV and TB), and autoimmune diseases. The invention relates in particular to the use of CAR engineered mucosal associated constant T (MAIT) cells, and to novel methods for stimulating, isolating and expanding highly purified MAIT cells, which can then be engineered into such CAR-MAIT cells. The invention also relates to a method for in vitro expansion of MAIT cells.

Description

Chimeric antigen receptor T cells
The present invention relates to Chimeric Antigen Receptor (CAR) T cells and in particular, but not exclusively, to their use in immunotherapy, and for the treatment, prevention or amelioration of cancer (e.g. T cell lymphoma), various microbial infections (e.g. HIV and TB), and autoimmune diseases. The invention relates in particular to the use of CAR engineered mucosal associated constant T (MAIT) cells, and to novel methods for stimulating, isolating and expanding highly purified MAIT cells, which can then be engineered into such CAR-MAIT cells. The invention also relates to a method for in vitro expansion of MAIT cells. The invention extends to genetic constructs themselves, and to their use in the production of CAR-MAIT cells, as well as to transduced CAR-MAIT cells themselves. The invention also extends to various medical uses of the constructs and transduced CAR-MAIT cells, as well as pharmaceutical compositions comprising these constructs and CAR-MAIT cells.
T-cell lymphomas are a group of heterogeneous clinical invasive diseases including peripheral T-cell lymphomas (PTCL), such as adult T-cell leukemia/lymphomas (ATL) caused by human T-lymphovirus type I (HTLV-1), cutaneous T-cell lymphomas (CTCL), such as Szezali Syndrome (SS). T cell malignancies are more difficult to treat than B cell malignancies. ATL and SS represent a rare and often invasive type of T cell lymphoma, and there are currently not enough patients to participate in randomized trials to establish treatment criteria. Thus, common first line therapies are the same as therapies for the treatment of other types of T cell lymphomas. For example, currently licensed drugs for the treatment of T cell malignancies include chemotherapeutic drugs, biological response modifiers (e.g., interferons, bexarotene, and HDAC inhibitors), monoclonal antibodies (alemtuzumab, mo Jiamu rituximab, rituximab), hematopoietic Stem Cell Transplantation (HSCT), and in vitro photopheresis (ECP), among others. However, none of the treatment regimens is superior to the other treatment regimens in terms of their overall response rate or duration of response. Although allogeneic (HSCT) is the only potential therapeutic regimen, a large number of patients may not be suitable for HSCT due to age and complications and HSCT-related mortality. Thus, there is a need for more effective treatment because the median survival for current ATL treatments is only 8 months (Katsuya et al, 2015).
Recently FDA approved Chimeric Antigen Receptor (CAR) -based T cell therapies (CAR-T) are considered one of the most significant breakthroughs for the treatment of B cell malignancies, achieving nearly 100% remission by targeting CD19 antigen (Park et al, 2018). Although CAR-T is effective in treating B cell malignancies, a similar approach to T cell derived malignancies has not been established. As with most B cell malignancies containing the same immunoglobulin gene rearrangement (i.e., cloning) and expressing the pan B cell marker (e.g., CD 19), most (> 95%) ATL and CTCL are derived from dominant T cell clones expressing the defined T Cell Receptor (TCR) gene (i.e., cloning the TCR-Vbeta chain) and pan T helper marker CD 4. Thus, treatment of T lymphomas by monoclonal antibody (mAb) targeting pan-T cell markers (e.g., CD4 or TCR-Vb chain) has been tested, but only has achieved partial efficacy in small clinical trials.
Current CAR-T therapies are primarily based on traditional αβ T cells. However, antigen recognition by αβ T cells is severely limited by MHC, which makes it suitable for autologous therapy, but adoptive transfer of the variant is very difficult. In addition, due to insufficient tumor infiltration of αβ T cells, conventional CAR-T therapies show lower efficacy in solid tumors (such as CTCL), but have broad prospects in liquid tumor treatment. However, conventional CAR-T cell therapies have some major drawbacks that limit their further application. For example, current CAR-T therapies: (i) Limited by autotransfusion due to Graft Versus Host Disease (GVHD), (ii) limited by targeting/oncolytic toxicity of the cytokine release syndrome; (iii) Drawbacks of autologous CAR-T, such as variability of patient T cell function, product standardization and cost.
Thus, there is a need to provide improved immunotherapy for T cell malignancies (e.g., T cell lymphomas, including PTCL and CTCL) and for the treatment of microbial infections (e.g., HIV and TB).
To treat T cell malignancies, the inventors focused attention on mucosal-related constant T cells (MAIT cells), which are a subset of T cells in the immune system that exhibit innate effector-like properties. MAIT cells are defined by constant use of the T cell receptor chain V.alpha.7.2, restricted by the Major Histocompatibility Complex (MHC) -Ib associated protein MR1, and exhibit high expression of the C-type lectin CD161 and IL18 receptors. In humans, MAIT cells are present in the blood, liver, lung and mucous membranes, and can protect against microbial activity and infection. MHC class I protein MR1 is responsible for the presentation of bacterial produced vitamin B metabolites (e.g.5-OP-RU) to MAIT cells. After MR1 presents the foreign antigen, MAIT cells secrete pro-inflammatory cytokines and are able to lyse bacterially infected cells.
Current methods of expansion of MAIT cells require the use of human allogeneic feeder cells to support the growth of MAIT cells in vitro culture, which is difficult for mass production and quality control of human adaptive immunotherapy. In addition, the MAIT cells produced using these known methods contain a proportion of other cell subsets, such as conventional CD4+ T cells and CD8+ T cells, which therefore makes the resulting MAIT isolate entirely unsuitable for allogeneic adoptive transfer, as these cell subsets can lead to graft versus host disease (GvHD).
Thus, there is also a need for an improved method to stimulate and isolate pure MAIT cell cultures without the need for allogeneic feeder cells to expand the production of MAIT cells for allogeneic adoptive transfer.
As described in the examples, the inventors developed a new method for stimulating and isolating high purity MAIT cell cultures from human PBMCs. The inventors have also developed novel genetic constructs and vectors (referred to herein as "CART4" and "cartvb7.1") that encode Chimeric Antigen Receptors (CARs) and then transduce into pure MAIT cells, resulting in CAR-MAIT cells that specifically target CD4 molecules on T cells (using "CART 4") or the TCR-Vbeta 7.1 chain (using "cartvb7.1"). This is achieved by creating a novel genetic construct comprising an scFv of either: (i) An anti-CD 4 mAb (e.g., hu5A 8) or (ii) an anti-TCR-Vb 7.1mAb (e.g., 3G 5), together with a CD28/4-1BB/CD3zeta chain signaling moiety, forms a third generation CAR. These CARs were then transduced into MAIT cells purified from Peripheral Blood Mononuclear Cells (PBMCs) to produce final CAR-MAIT cells targeting CD4 on T cells or TCR-Vbeta 7.1 chains on T cells. The inventors have demonstrated that these CAR-MAIT cells surprisingly exhibit comparable or even superior anti-T lymphoma activity as conventional CAR-T cells.
Thus, in a first aspect of the invention, provided herein are mucosal associated constant T (MAIT) cells expressing a Chimeric Antigen Receptor (CAR).
As described herein, MAIT cells are non-conventional and congenital T cells expressing constant T Cell Receptors (TCRs), are highly conserved during mammalian evolution, recognize microbial antigens presented by MR1 proteins, and exist in human blood and maintain tissue homeostasis to obtain a broad range of antimicrobial responsiveness. Furthermore, it is advantageous that the antigen recognition mechanism of the MAIT cells is independent of MHC, which makes the MAIT cells a powerful candidate for allogeneic T cell killing therapy, so that it is not limited to autologous therapies, such as current MHC-dependent T cell therapies. In other words, the MAIT cells have low alloreactivity and are less prone to induce human Graft Versus Host Disease (GVHD), thus representing an ideal T cell subset for allogeneic CAR-T therapy. In contrast, CART-MAIT cells of the present invention and cell therapies resulting therefrom can readily undergo allogeneic metastasis, and the endogenous nature of the MAIT cells makes them promising candidates for infiltration into peripheral tissues for solid tumor treatment. Thus, CAR-MAIT cells can effectively penetrate into solid tumors, which makes MAIT cell-based cell therapies a promising therapy for solid and liquid tumors.
Advantageously, the CAR-MAIT cells of the present invention may be used to treat T cell malignancies, such as adult T cell leukemia/lymphoma (ATL) caused by human T lymphocyte virus type I (HTLV-1), cutaneous T Cell Lymphoma (CTCL), such as Sezary Syndrome (SS). It is understood that T cell malignancies are a group of heterogeneous clinical invasive diseases and are more refractory to treatment than B cell malignancies. Advantageously, CAR-MAIT therapy is expected to exhibit enhanced efficacy against solid tumors and is allogeneic, so that autograft is not required, thus positioning it as a ready-to-use therapy.
Preferably, in one embodiment, the CAR-MAIT cells express a CAR that targets a CD4 antigen on T cells. Thus, preferably, the CAR is specific for CD4 antigen on T cells. It will be appreciated that the CD4 antigen is a glycoprotein found on the surface of immune cells such as T helper cells, monocytes, macrophages and dendritic cells (T cell surface glycoprotein CD4[ Chiren ] UniProt No. P01730.1; NCBI reference sequence NP-000607.1). One embodiment of the polypeptide sequence of the CD4 antigen is represented herein as SEQ ID No:1, as follows:
thus, preferably, the CAR pair comprises a sequence substantially as set forth in SEQ ID No:1 or a variant or fragment thereof.
Preferably, in another embodiment, the CAR-MAIT cells express a CAR that targets the T Cell Receptor (TCR) β chain variable region (Vbeta) on T cells. It is understood that T Cell Receptors (TCRs) are protein complexes found on the surface of T cells or T lymphocytes, which are responsible for recognizing antigen fragments as peptides bound to Major Histocompatibility Complex (MHC) molecules. TCRs consist of two distinct protein chains. In humans, TCR in 95% of T cells consists of TRA-encoded alpha (α) chains and TRB-encoded beta (β) chains.
Table 1 below lists the Vbreta region on T cells and the associated coding genes, and any one or more of them can be targeted by CARs on CAR-MAIT cells of the present invention.
TABLE 1 beta chain variable region (Vbeta) on T cells
The CAR-MAIT cells may express CARs that target multiple T Cell Receptor (TCR) β chain variable regions (Vbeta) on the T cells. Preferably, the plurality of Vbeta regions may be selected from a set of Vbeta regions shown in table 1. For example, the CAR-MAIT cells may express CARs targeting at least two, at least three, or at least four T Cell Receptor (TCR) β chain variable regions (Vbeta) on T cells, preferably as shown in table 1. The CAR-MAIT cells may express CARs targeting at least five, at least six, or at least seven T Cell Receptor (TCR) β chain variable regions (Vbeta) on T cells, preferably as shown in table 1. The multiple TCR Vbeta regions may be the same or different Vbeta regions.
The following Vb family is believed to be frequently associated with T cell lymphomas, namely, vb 1, vb 2, vb3, vb 5.1, vb 7.1, vb 8, vb 12, vb 13.1, vb 17 and Vb 20. Thus, in a preferred embodiment, the CAR-MAIT cell expresses a CAR targeting one or more TCR Vbeta regions on the T cell, selected from the group consisting of: vb 1, vb 2, vb3, vb 5.1, vb 7.1, vb 8, vb 12, vb 13.1, vb 17 and Vb 20. Preferably, the CAR-MAIT cells express CARs targeting at least two or three TCR Vbeta regions on T cells selected from the group consisting of: vb 1, vb 2, vb3, vb 5.1, vb 7.1, vb 8, vb 12, vb 13.1, vb 17 and Vb 20.
Thus, preferably, the CAR has specificity for at least one or more TCR Vbeta regions on the T cell, most preferably the TCR-Vbeta 7.1 chain. One embodiment of the polypeptide sequence of the TCR Vbase 7.1 region (Chiren rearranged TCR Vbase 7.1UniProtKB/Swiss-Prot: A0A577.1) is represented herein as SEQ ID No:2, as follows:
MGCRLLCCAVLCLLGAVPIDTEVTQTPKHLVMGMTNKKSLKCEQHMGHRAMYWYKQKAKKPPELMFVYSYEKLSINESVPSRFSP
ECPNSSLLNLHLHALQPEDSALYLCASSQ
[SEQ ID No:2]
thus, preferably, the CAR pair comprises a sequence substantially as set forth in SEQ ID No:2 or a variant or fragment thereof, or at least one or more TCR Vbeta regions (more preferably TCR-Vbeta 7.1 chains) thereof.
Preferably, the CAR-MAIT cells are configured to directly kill the targeted T cells by inducing apoptosis.
Preferably, the CAR-MAIT cells comprise one or more coding sequences that allow for the controlled or induced elimination of the CAR-MAIT cells, e.g. in case of adverse effects in the patient. The skilled person may refer to the one or more coding sequences as so-called "suicide genes".
Thus, in one embodiment, one or more coding sequences may encode an Epidermal Growth Factor Receptor (EGFR) or a truncated epidermal growth factor receptor (tEGFR) (reference) (UniProt No. P00533; NCBI reference sequence NP-001333826.1). Expression of tgfr can be controlled by anti-EGFR mAb (cetuximab) to monitor or eliminate CAR-T cells in patients. It is understood that EGFR is known as HER1 in humans and is a transmembrane protein, which is the receptor for the Epidermal Growth Factor (EGF) member of the extracellular protein ligand (UniProt No. P01133; NCBI reference sequence NP-001171601.1).
In another embodiment, one or more of the coding sequences may encode an inducible caspase 9 (iC 9) (mol. Therapy, diacon et al, 580,25,3,March 2017). iC9 is a modified human caspase 9 (UniProt No. p55211; NCBI reference sequence np_ 001220.2), fused to human FK506 binding protein (UniProt No. p62942; NCBI reference sequence np_ 000792.1), allowing for conditional dimerization using chemical inducers (caspase-induced drug (CID), rimiducid), triggering CAR-T cell apoptosis expressing the fusion protein.
Preferably, the CAR-MAIT cells comprise a coding sequence encoding a truncated epidermal growth factor receptor (tgfr) and/or an inducible caspase 9 (iC 9). More preferably, the CAR-MAIT cells comprise coding sequences encoding a truncated epidermal growth factor receptor (tgfr) and an inducible caspase 9 (iC 9).
It is understood that CAR-MAIT cells are produced by transducing MAIT cells with a nucleic acid or genetic construct encoding the CAR. It is important to use a culture of highly purified MAIT cells for the CAR transduction step to produce T cell specific and active CAR-MAIT cells. Accordingly, the present inventors developed an efficient method for isolating purified MAIT cells from human Peripheral Blood Mononuclear Cells (PBMC) by combining Magnetically Activated Cell Sorting (MACS) with Fluorescence Activated Cell Sorting (FACS) such that the resulting method yields a large number of MAIT cells with high expansion.
Thus, preferably, the MAIT cells are isolated from human Peripheral Blood Mononuclear Cells (PBMC). Preferably, the MAIT cells are isolated from PBMC by Magnetic Activated Cell Sorting (MACS) and/or Fluorescent Activated Cell Sorting (FACS), more preferably both MACS and FACS. The inventors believe that their MAIT separation method is novel in itself.
Thus, in a second aspect, provided herein is a method of isolating a MAIT cell, the method comprising:
(i) Providing Peripheral Blood Mononuclear Cells (PBMCs); and
(ii) The PBMCs are subjected to Magnetic Activated Cell Sorting (MACS) and/or Fluorescent Activated Cell Sorting (FACS) to separate the MAIT cells therefrom.
Preferably, the method of the invention results in the isolation of pure isolated MAIT cells. In one embodiment, the method comprises MACS or FACS of PBMCs to isolate the MAIT cells therefrom. Preferably, however, the method comprises subjecting the PBMCs to both MACS and FACS to isolate the MAIT cells therefrom. Preferably, PBMC are first MACS followed by FACS. Preferably, the method comprises isolating TCR V.alpha.7.2+ cells from PBMC by MACS, and then FACS using MR1-5-OP-RU tetramer staining to isolate MAIT cells.
MACS procedures (in step (ii)) may involve collection of PBMCs followed by washing of the cells with binding buffer. The supernatant may be discarded and the resulting cell pellet resuspended in MACS buffer (e.g., at a concentration of 1X 10 7 100 μl). The solution may be contacted (e.g., at a ratio of 1:100) with an Phycoerythrin (PE) anti-human TCR vα7.2 antibody. The solution may be mixed and then may be incubated (e.g., on ice for 30 minutes). Cells can be washed with MACS buffer (e.g., centrifuged at 300xg for 5 minutes). Cells can be resuspended in MACS buffer (e.g., at a concentration of 10 7 80 μl). The suspension may be contacted with the anti-PE microbeads, which may then be incubated (e.g., on ice for 20 minutes). Cells can be washed (e.g., 10 volumes of MACS buffer). The solution may be centrifuged (e.g., at 300x g for 5 minutes). Cells can be resuspended (e.g., in 1ml MACS buffer). The MS column can be buffered with MACSThe liquid is pre-washed and assembled on the magnet. Cells can be applied to the column and MACS performed. The column may then be washed one or more times (e.g., with MACS buffer each time). The column may be removed from the magnet and bound cells may be eluted from the column (e.g., in MACS buffer).
The FACS procedure (in step (ii)) may include collecting magnetically separated cells, followed by centrifugation (e.g. at 300x g for 5 minutes). The cells can be resuspended (e.g., with FACS buffer at 10 7 Concentration re-suspension of 100 μl). The solution may be contacted with BV421 labeled human 5-OP-RU MR1 tetramer (e.g., in a ratio of 1:500) and APC-H7-conjugated anti-human CD3 (e.g., in a ratio of 1:200). The solution may then be incubated (e.g., on ice for 20 minutes). Cells can be washed (e.g., with 10 volumes of FACS buffer). The solution may be centrifuged (e.g., at 300x g for 5 minutes). Cells may be resuspended (e.g., in 2ml FACS buffer). The cell samples can then be loaded into a FACS sorter (e.g., BD Prodigy sorter) and FACS performed.
The MAIT cell is activated in a subsequent step after step (ii) prior to transduction of the isolated MAIT cell with a nucleic acid encoding a CAR, preferably in the method of the second aspect. Thus, the method further comprises activating the isolated MAIT cells with an anti-CD 3 antibody, preferably in vitro. The method comprises activating isolated MAIT cells with an anti-CD 28 antibody, preferably in vitro. Preferably, the isolated MAIT cells are activated substantially simultaneously or sequentially with anti-CD 3 and anti-CD 28 antibodies. Sequential activation may involve contacting the MAIT cell first with anti-CD 3 and then with an anti-CD 28 antibody, or first with an anti-CD 28 antibody and then with an anti-CD 3 antibody. The contacting with the antibody may last for at least one, two or three days.
The MAIT cell activation procedure may include collecting sorted MAIT cells by centrifugation (e.g., at 300x g for 5 minutes). The supernatant may be discarded and the pellet may be resuspended (e.g., to 10 in R10 medium 6 Individual cells/ml). The solution may be contacted with Dynabeads human T activator CD3/CD28 (e.g., by vortexing for 30 seconds). The desired volume of Dynabeads can be transferred into a test tube. An equal volume of buffer may be added to the testIn the tube and may be mixed (e.g., by vortexing for 5 seconds). The tube may be placed on a magnet (e.g., 1 minute) and the supernatant may be discarded. The tube may be removed from the magnet and the washed Dynabeads may be resuspended (e.g., in R10 medium). The desired volume of Dynabeads can be contacted with the cell suspension (e.g., 100IU/ml IL-2 in a 24 well plate in an incubator at 37 ℃ C. To obtain a microbead to cell ratio of about 1:1).
The method may then comprise transducing the isolated and now activated MAIT cell with a nucleic acid encoding a CAR.
MAIT cells are a subset of congenital T cells, defined as CD3 + TCRVa7.2 + CD161 + Cells, recognizing the MHC class I molecule MR1. Previous studies have shown that MAIT cells can be expanded in vitro, but require the presence of allogeneic feeder cells. However, one problem with this approach is that it is difficult to mass produce and quality control. As described in example 10 and shown in fig. 15, the inventors have now developed a surprisingly effective method for in vitro expansion of MAIT cells by first stimulating PBMCs with antigen (5-OP-RU) -loaded MR1 tetrameric beads or 5-OP-RU (alone), in vitro culture in the presence of various cytokine combinations for up to 6 days. MAIT cells are then isolated by MACS or FACS sorting, followed by further expansion by anti-CD 3/CD28 beads for CAR-based therapy, as described above.
Thus, in preferred embodiments, the method may comprise stimulating the PBMCs prior to subjecting the PBMCs to MACS and/or FACS steps (i.e., step ii). Preferably, the initial stimulation step comprises contacting PBMCs with: (a) an antigen comprising MR1/5-OP-RU or 5-OP-RU; and/or (b) a cytokine. Preferably, the stimulating step comprises contacting PBMCs: (a) an antigen comprising MR1/5-OP-RU or 5-OP-RU; and (b) a cytokine. The step of stimulating may comprise contacting the PBMCs with the antigen and/or cytokine for at least 1 day, 2 days, or 3 days. The stimulating step may last for at least 4 days, 5 days or 6 days. Preferably, the step of stimulating comprises contacting the PBMCs with an antigen and/or cytokine in an in vitro culture.
WO 2015/149130 describes MR1/5-OP-RU and 5-OP-RU, the entire contents of which are incorporated herein by reference. Thus, preferably, the antigen comprises MR1/5-OP-RU or 5-OP-RU, as described in WO 2015/1491130 (PCT/AU 2015/050148).
The cytokine may be any interleukin. Preferably, however, the cytokine may be one or more interleukins selected from the group consisting of IL-2, IL-7, IL-12, IL-15, IL-18 and IL-23 or any combination thereof. The concentration of the interleukin may be at least 5ng/ml, 10ng/ml or 20ng/ml, preferably at least 30ng/ml, 40ng/ml or 50ng/ml.
For example, the one or more interleukins may comprise: (i) IL-2 alone (condition 1 in fig. 15); (ii) IL-12 and IL-18 (condition 11 in FIG. 15); (iii) IL-2, IL-12 and IL-18 (condition 3 in FIG. 15); (iv) IL-12, IL-18 and IL-23 (condition 12 in FIG. 15); (v) IL-2, IL-12, IL-18 and IL-23 (condition 13 in FIG. 15), or (vi) IL-7, IL-15, IL-12 and IL-18 (condition 8 in FIG. 15).
Most preferably, the one or more interleukins may comprise a combination of IL-12, IL-18 and IL-23. Thus, preferably, the stimulating step comprises contacting the PBMCs with: (a) an antigen comprising MR1/5-OP-RU or 5-OP-RU; and (b) IL-12, IL-18 and IL-23 combination.
The inventors believe that they have devised a new method of stimulating MAIT cells in PBMC cultures.
Thus, in another aspect, provided herein is a method of stimulating a MAIT cell in a PBMC culture, the method comprising contacting a PMBC culture with: (a) an antigen comprising MR1/5-OP-RU or 5-OP-RU; and/or (b) one or more interleukins selected from the group consisting of IL-2, IL-7, IL-12, IL-15, IL-18 and IL-23, or any combination thereof.
Preferably, the one or more interleukins is IL-12, IL-18 and/or IL-23. More preferably, the one or more interleukins are IL-12, IL-18 and IL-23.
The inventors believe that their method of producing CAR-MAIT cells is novel in itself.
Accordingly, in a third aspect, provided herein is a method of producing a CAR-MAIT cell, the method comprising:
(i) Providing Peripheral Blood Mononuclear Cells (PBMCs);
(ii) MACS and/or FACS are performed on PBMCs to isolate MAIT cells therefrom;
(iii) Activating the isolated MAIT cells, optionally by contacting them with an anti-CD 3 and/or anti-CD 28 antibody; and
(iv) Transduction of activated MAIT cells with nucleic acid encoding a CAR, thereby producing CAR-MAIT cells.
Steps (i), (ii) and/or (iii) of the method of the third aspect may be the same as those described herein with respect to the method of the second aspect, and so these method steps are interchangeable.
Further, preferably, the method comprises stimulating the PBMCs prior to subjecting the PBMCs to MACS and/or FACS steps (i.e. step ii). Preferably, the initial stimulation step comprises contacting PBMCs with: (a) an antigen comprising MR1/5-OP-RU or 5-OP-RU; and/or (b) a cytokine. Preferably, the stimulating step comprises contacting PBMCs: (a) an antigen comprising MR1/5-OP-RU or 5-OP-RU; and (b) a cytokine. The cytokine may be an interleukin as described in relation to the second aspect, preferably one or more interleukins selected from the group consisting of IL-2, IL-7, IL-12, IL-15, IL-18 and IL-23 or any combination thereof, as described above.
Most preferably, the one or more interleukins may comprise a combination of IL-12, IL-18 and IL-23. Thus, preferably, the stimulating step comprises contacting the PBMCs with: (a) an antigen comprising MR1/5-OP-RU or 5-OP-RU; and (b) IL-12, IL-18 and IL-23 combination.
Preferably, the MAIT cell is activated in step (iii) prior to transduction of the isolated MAIT cell with a nucleic acid encoding a CAR in step (iv). Isolated MAIT cells may be activated with an anti-CD 3 antibody, preferably in vitro. Isolated MAIT cells may be activated with an anti-CD 28 antibody, preferably in vitro. Preferably, the isolated MAIT cells are activated substantially simultaneously or sequentially with anti-CD 3 and anti-CD 28 antibodies as described in relation to the method of the second aspect.
The MAIT cell transduction sequence (i.e., step (iv)) may comprise transducing the MAIT cell with a nucleic acid encoding a CAR. The transduction step may comprise viral transduction. Preferably, the MAIT cell transduction sequence comprises transduction of the MAIT cell with a nucleic acid encoding a CAR by a retrovirus. The MAIT cells may be transduced with any nucleic acid encoding a CAR as described herein, e.g., a vector according to the fifth aspect or according to the sixth aspect. The nucleic acid can encode a CAR targeting CD4 antigen or at least one or more of the Vbeta regions of the TCR on T cells. Preferably, the nucleic acid may encode a CAR that targets one or more of the TCR Vbeta regions (and more preferably the TCR-Vbeta 7.1 chain) shown in table 1 above the T cell. The nucleic acid may encode a CAR targeting one or more TCR Vbeta regions on a T cell, the TCR Vbeta regions selected from the group consisting of: vb 1, vb 2, vb 3, vb 5.1, vb 7.1, vb 8, vb 12, vb 13.1, vb 17 and Vb 20.
Preferably, transduction is performed at least 34 hours, 36 hours, or 48 hours after activation of the MAIT cell. Prior to transduction (e.g., about 1 day ago), retroNectin coated plates may be prepared. RetroNectin (e.g., about 15 μg) may be contacted with PBS (e.g., about 1 ml) to form a solution. The method may include introducing the solution into one well of a 24-well plate that has not been treated with tissue culture. The plates may be wrapped (e.g., with a preservative film) and stored at about 4℃ (e.g., overnight in a refrigerator). On the day of gene transfer, unbound retroNectin was removed from the wells. Wells may be washed (e.g., one or two washes with 2ml PBS). Preferably, the wells are not allowed to dry. Retrovirus supernatant can be thawed (e.g., in a 37 ℃ water bath). Preferably, the viral supernatant (e.g., about 1 ml) is transferred to each well of a RetroNectin coated plate. The plate may be wrapped with a preservative film. Plates may be centrifuged (e.g., at 1000x g for 2 hours at 32 ℃). Upon centrifugation, activated MAIT cells may be collected. The harvested cells can be resuspended (e.g.in fresh R10 medium containing 100IU/ml IL-2 to a concentration of 1X10 6 /ml). After centrifugation is complete, the supernatant can be discarded from the plate. A cell suspension (e.g. 1 ml) may be added to each well. The plate may be centrifuged (e.g., at 500x g for 10 minutes). The plates may then be incubated (e.g., in an incubator at 37 ℃). The transduction step may be repeated if desired to obtain higher transduction efficiencies. Transduction efficiencies can be measured by flow cytometry about 48 hours after transduction.
In the method of the third aspect, the method of the invention preferably comprises the steps ofAmplifying the CAR-MAIT cells in a subsequent step after step (iv). The CAR-MAIT cell expansion step may comprise harvesting the transduced CAR-MAIT cells one or two days after transduction, preferably using a retrovirus or virus. The harvested cells may be counted (e.g., by a cytometer). The harvested cells can then be transferred into wells of a plate (e.g., 1x 10 7 Individual cells were transferred to wells of Grex6M well plates). The harvested cells may then be contacted with an interleukin. For example, the interleukin may be IL-2 (e.g., about 100 IU/ml) contained in a suitable medium, such as R10 medium (e.g., 130 ml). The plate may be returned to the incubator. IL-2 may then be updated (e.g., to a final concentration of 100IU/ml every three days). After 8-12 days of culture, the CAR-MAIT cells can be harvested. The amplified CAR-MAIT cells may be used for phenotypic testing, functional analysis, and/or freezing for later use (e.g., in liquid nitrogen).
Advantageously, as described in the examples, 11 days of culture produced 100-fold expansion levels of CAR-MAIT cells with transduction efficiencies greater than 50%. The inventors have observed that CAR-MAIT cells surprisingly exhibit a cytotoxic efficacy at least comparable to cd8+ T cells expressing conventional CARs.
In a fourth aspect, provided herein is a CAR-MAIT cell obtained or obtainable by the method of the third aspect.
As described herein, the isolated MAIT cells obtained using the methods of the second or third aspects may be activated and ultimately transduced with a nucleic acid construct encoding a CAR to produce the CAR-MAIT cells of the first or fourth aspects. As described herein, the inventors developed novel genetic constructs and recombinant vectors encoding CARs that specifically target the CD4 molecule (in which case the constructs and vectors are referred to herein as "CART 4") or one or more TCR-Vbeta regions, e.g., the TCR-Vbeta 7.1 chain on T cells (in which case the constructs and vectors are referred to herein as "cartvb7.1"). Any of these constructs and vectors may be used to transduce the MAIT cells in the methods of the third or fourth aspects.
The genetic construct comprises an scFv of any one of: (i) An anti-CD 4 mAb (e.g., hu5A 8) or (ii) an anti-TCR-Vb mAb, e.g., an anti-TCR-Vb 7.1mAb (e.g., 3G 5), forms a third generation CAR with a CD28/4-1BB/CD3zeta chain signaling moiety. The CAR-encoding construct further comprises at least one safety switch encoded by a so-called suicide gene, such as truncated epidermal growth factor receptor (tgfr) and/or inducible caspase 9 (iC 9), and which is capable of clearing the resulting CAR-T cells, thus providing a sophisticated monitoring system or safety mechanism when CAR-T cells are used in therapy. Expression of tgfr can be recognized by anti-EGFR mabs (e.g., cetuximab) for monitoring or eliminating CAR-T cells, whereas iC9 is a modified human caspase 9 fused to a human FK506 binding protein, and can be conditionally dimerized using a dimerization chemistry inducer (e.g., rimiducid) to trigger apoptosis of CAR-T cells expressing the fusion protein. The inventors believe that the CAR-encoding nucleic acid constructs they develop are novel in themselves. Referring to fig. 1A (1 and 2), this schematic diagram illustrates the functional elements comprised in both embodiments of the CAR coding construct according to the invention, i.e. fig. 1A (1) shows "CART4" and fig. 1A (2) shows "cartvb7.1". However, it should be appreciated that "cartvb7.1" having an anti-TCR-Vb 7.1 targeting the Vbeta 7.1 family is purely illustrative, any Vbeta region may be targeted by the CAR, such as any Vbeta shown in table 1, in particular any of Vb 1, vb 2, vb 3, vb 5.1, vb7.1, vb 8, vb 12, vb 13.1, vb 17 and Vb 20.
Thus, in a fifth aspect, provided herein is a kit comprising a promoter operably linked to a first coding sequence encoding an anti-CD 4 Chimeric Antigen Receptor (CAR) or an anti-T Cell Receptor (TCR) Vbeta CAR.
The promoter may be any suitable promoter, including constitutive, active, inducible or tissue-specific. Constitutive promoters allow for constitutive expression of a heterologous gene (also referred to as a transgene) in a host cell. Exemplary constitutive promoters contemplated herein include, but are not limited to, the Cytomegalovirus (CMV) promoter, human elongation factor-1 alpha (hEGF), ubiquitin C promoter (Ubic), phosphoglycerate kinase Promoter (PGK), simian virus 40 early promoter (SV 40), and chicken beta-actin promoter coupled to the CMV early enhancer (CAGG). Inducible promoters belong to the category of regulatory promoters. The inducible promoter may be induced by one or more conditions, such as physical conditions, the microenvironment of the engineered immune effector cell or the physiological state of the engineered immune effector cell, an inducer (i.e., an inducer), or a combination thereof. In some embodiments, the induction conditions do not induce expression of the endogenous gene in the engineered mammalian cells and/or in the subject receiving the pharmaceutical composition. In some embodiments, the induction conditions are selected from the following: inducer, radiation (e.g., ionizing radiation, light), temperature (e.g., heat), redox status, tumor environment, and activation status of the engineered mammalian cells.
In one embodiment, the promoter may be a PGK promoter (EMBL NO: A19297.1). In one embodiment, the PGK promoter is referred to herein as SEQ ID No:3, as follows:
GGGTAGGGGAGGCGCTTTTCCCAAGGCAGTCTGGAGCATGCGCTTTAGCAGCCCCGCTGGGCACTTGGCGCTACACAAGTGGCCT
CTGGCCTCGCACACATTCCACATCCACCGGTAGGCGCCAACCGGCTCCGTTCTTTGGTGGCCCCTTCGCGCCACCTTCTACTCCT
CCCCTAGTCAGGAAGTTCCCCCCCGCCCCGCAGCTCGCGTCGTGCAGGACGTGACAAATGGAAGTAGCACGTCTCACTAGTCTCG
TGCAGATGGACAGCACCGCTGAGCAATGGAAGCGGGTAGGCCTTTGGGGCAGCGGCCAATAGCAGCTTTGCTCCTTCGCTTTCTG
GGCTCAGAGGCTGGGAAGGGGTGGGTCCGGGGGCGGGCTCAGGGGCGGGCTCAGGGGCGGGGCGGGCGCCCGAAGGTCCTCCGGA
GGCCCGGCATTCTGCACGCTTCAAAAGCGCACGTCTGCCGCGCTGTTCTCCTCTTCCTCATTCTCCGGGCCTTTCG
[SEQ ID No:3]
thus, preferably, the promoter may comprise a nucleotide sequence substantially as set forth in SEQ ID No:3 or a fragment or variant thereof.
The nucleic acid construct may comprise a nucleotide sequence encoding a signal peptide. Advantageously, the signal peptide is configured to direct the CAR (i.e., it is a fusion protein) to the T cell outer membrane. Preferably, the sequence encoding the signal peptide is located 3' of the promoter. Preferably, the signal peptide is an igκ signal peptide. In one embodiment, the signal peptide may have a sequence referred to herein as SEQ ID No:4, as follows:
METDTLLLWVLLLWVPGSTGD
[SEQ ID No:4]
thus, preferably, the construct comprises a coding sequence having a sequence substantially as set forth in SEQ ID No:4 or a fragment or variant thereof.
In one embodiment, the nucleotide sequence encoding the signal peptide is referred to herein as SEQ ID No:5, as follows:
ATGGAGACAGACACACTCCTGCTATGGGTGCTGCTGCTCTGGGTTCCAGGTTCCACAGGTGAC
[SEQ ID No:5]
thus, preferably, the construct comprises a sequence substantially as set forth in SEQ ID No:5 or a fragment or variant thereof.
Preferably, the first coding sequence is located 3' to the sequence encoding the signal peptide. In a first embodiment of the nucleic acid construct, the first coding sequence encodes an anti-CD 4 Chimeric Antigen Receptor (CAR). Preferably, the CAR pair comprises a sequence substantially as set forth in SEQ ID No:1 or a variant or fragment thereof.
As shown in fig. 1A (1) ("CART 4"), the first coding sequence may encode an scFv region, which may comprise a VL (variable light chain) sequence and a VH (variable heavy chain) sequence. Preferably, the VL sequence is located upstream (i.e. 5') of the VH sequence. However, in some embodiments, the VH sequence may be located upstream of the VL sequence.
In one embodiment, the VL and VH sequences may be Hu5A8 (i.e., hybridoma clone name of anti-CD 4 monoclonal antibody) light chain variable region and heavy chain variable region for binding to CD4 antigen on T cells.
Thus, in one embodiment, the first coding sequence (which may encode a VL sequence for binding CD 4) encodes a sequence referred to herein as SEQ ID No:6, as follows:
DIVMTQSPDSLAVSLGERVTMNCKSSQSLLYSTNQKNYLAWYQQKPGQSPKLLIYWASTRESGVPDRFSGSGSGTDFTLTISSVQ
AEDVAVYYCQQYYSYRTFGGGTKLEIK
[SEQ ID No:6]
thus, preferably, the first coding sequence comprises a sequence encoding a sequence substantially as set forth in SEQ ID No:6 or a fragment or variant thereof.
In one embodiment, the first coding sequence (which may encode a VL sequence for binding CD 4) comprises a sequence referred to herein as SEQ ID No:7, as follows:
GACATTGTGATGACTCAGAGCCCCGACAGCCTGGCCGTCTCACTGGGCGAAAGGGTGACCATGAATTGTAAATCTTCTCAGAGCC
TGCTGTACAGTACAAACCAGAAAAATTACCTGGCCTGGTATCAGCAGAAACCCGGCCAGAGCCCTAAGCTGCTGATCTATTGGGC
AAGTACCCGAGAGTCAGGAGTGCCAGACAGATTCTCCGGGTCTGGAAGTGGCACAGACTTCACCCTGACAATTAGCTCCGTGCAG
GCCGAGGACGTGGCTGTCTACTATTGCCAGCAGTACTATAGCTACCGAACTTTCGGCGGGGGAACCAAACTGGAAATCAAG
[SEQ ID No:7]
thus, preferably, the first coding sequence comprises a sequence substantially as set forth in SEQ ID No:7 or a fragment or variant thereof.
In one embodiment, the first coding sequence (which may encode a VH sequence for binding CD 4) encodes a sequence referred to herein as SEQ ID No:8, as follows:
QVQLQQSGPEVVKPGASVKMSCKASGYTFTSYVIHWVRQKPGQGLDWIGYINPYNDGTDYDEKFKGKATLTSDTSTSTAYMELSS
LRSEDTAVYYCAREKDNYATGAWFAYWGQGTLVTVSS
[SEQ ID No:8]
Thus, preferably, the first coding sequence comprises a sequence encoding a sequence substantially as set forth in SEQ ID No:8 or a fragment or variant thereof.
In one embodiment, the first coding sequence (which may encode a VH sequence for binding CD 4) comprises a sequence referred to herein as SEQ ID No:9, as follows:
CAGGTGCAGCTGCAGCAGTCCGGACCAGAGGTGGTCAAACCCGGCGCTAGCGTCAAAATGTCCTGTAAGGCATCTGGCTACACTT
TCACCTCTTATGTGATTCACTGGGTCAGACAGAAGCCTGGGCAGGGACTGGACTGGATCGGGTACATTAACCCATATAATGATGG
AACTGACTACGATGAAAAGTTTAAAGGCAAGGCCACACTGACTTCCGACACCTCAACAAGCACTGCTTATATGGAGCTGTCTAGT
CTGAGGTCTGAAGACACAGCAGTGTACTATTGCGCCCGCGAGAAGGATAACTACGCCACTGGCGCTTGGTTTGCATATTGGGGCC
AGGGGACCCTGGTGACAGTCTCATCC
[SEQ ID No:9]
thus, preferably, the first coding sequence comprises a sequence substantially as set forth in SEQ ID No:9 or a fragment or variant thereof.
Preferably, the VH (e.g., SEQ ID No: 9) and VL (e.g., SEQ ID No: 7) sequences, when in either orientation, are separated by a linker sequence. In one embodiment, the linker sequence may be a G4S linker sequence, which is referred to herein as SEQ ID No:10, as follows:
GGGGSGGGGSGGGGS
[SEQ ID No:10]
thus, preferably, the first coding sequence comprises a sequence encoding a sequence substantially as set forth in SEQ ID No:10 or a fragment or variant thereof.
In one embodiment, the linker sequence may consist of the sequence referred to herein as SEQ ID No:11, as follows:
GAGGAGGAGGCAGTGGCGGAGGAGGGTCAGGAGGAGGAGGAAGC
[SEQ ID No:11]
thus, preferably, the linker sequence comprises a sequence substantially as set forth in SEQ ID No:11 or a fragment or variant thereof.
However, in a second embodiment of the nucleic acid construct ("cartvb7.1"), the first coding sequence encodes an anti-T Cell Receptor (TCR) Vbeta region CAR. It should be appreciated that any Vbeta region can be targeted by the CAR. For example, any Vbeta region listed in table 1 can be targeted by a CAR encoded by the first coding sequence.
The first coding sequence may encode a plurality of T Cell Receptor (TCR) β chain variable region (Vbeta) CARs. Preferably, the plurality of Vbeta regions may be selected from a set of Vbeta regions shown in table 1. Two or more Vbeta region-targeting CARs may also be combined on the same construct. For example, the construct may comprise a coding sequence encoding at least two, at least three, or at least four T Cell Receptor (TCR) β chain variable regions (Vbeta) targeting CARs, preferably as shown in table 1. The construct may comprise a coding sequence encoding at least five, at least six, or at least seven T Cell Receptor (TCR) β chain variable regions (Vbeta) targeting CARs, preferably as listed in table 1. The multiple TCR Vbeta regions may be the same or different Vbeta regions.
The following Vb family is believed to be frequently associated with T cell lymphomas, namely, vb 1, vb 2, vb 3, vb 5.1, vb 7.1, vb 8, vb 12, vb 13.1, vb 17 and Vb 20. Thus, in a preferred embodiment, the construct comprises a coding sequence encoding at least one CAR that targets one or more TCR Vbeta regions on a T cell selected from the following Vbeta regions: vb 1, vb 2, vb 3, vb 5.1, vb 7.1, vb 8, vb 12, vb 13.1, vb 17 and Vb 20. Preferably, the construct comprises a coding sequence encoding at least one CAR that targets at least two or three TCR Vbeta regions on a T cell selected from the following Vbeta regions: vb 1, vb 2, vb 3, vb 5.1, vb 7.1, vb 8, vb 12, vb 13.1, vb 17 and Vb 20.
Thus, preferably, provided herein is a nucleic acid construct comprising a promoter operably linked to a first coding sequence, wherein the first coding sequence encodes a plurality of anti-T Cell Receptor (TCR) Vbeta CARs, wherein different Vbeta region cells on the T Cell Receptor (TCR) Vbeta CARs are targeted.
Preferably, the CAR has specificity for the TCR Vbeta region (preferably the TCR-Vbeta 7.1 chain) comprising a sequence substantially as set out in SEQ ID No:2 or a variant or fragment thereof.
As shown in fig. 1A (2), the first coding sequence may encode an scFv region, which may comprise a VL (variable light chain) sequence and a VH (variable heavy chain) sequence. Preferably, the VL sequence is located upstream (i.e. 5') of the VH sequence. However, in some embodiments, the VH sequence may be located upstream of the VL sequence. Preferably, the VH and VL coding sequences are separated by a linker sequence (e.g., a G4S linker sequence) when in either orientation.
In one embodiment, the VL and VH sequences may be the light chain variable region and the heavy chain variable region of 3G5 (i.e., hybridoma clone name of anti-TCR Vbeta 7.1 monoclonal antibody) for binding to TCR Vbeta 7.1 antigen.
In one embodiment, the first coding sequence (which may encode a VL sequence for binding to the TCR Vbeta, preferably the TCR-Vbeta 7.1 chain) encodes a sequence referred to herein as SEQ ID No:12, as follows:
QVQLQQPGAELVKPGASVKMSCKASGYTFTRYWITWVKQRPGQGLEWIGDIYPGSGFTKYNEKFKSKATLTVDTSSSTAYMQLSSLTSEDSAVYYCAREGGNYWYFDVWGTGTTVTVSS [SEQ ID No:12]
Thus, preferably, the first coding sequence comprises a sequence encoding a sequence substantially as set forth in SEQ ID No:12 or a fragment or variant thereof.
In one embodiment, the first coding sequence (which may encode a VL sequence for binding to a TCR Vbeta, preferably a TCR-Vbeta 7.1 chain) comprises a sequence referred to herein as SEQ ID No:13, as follows:
CAAGTTCAGCTGCAACAGCCTGGCGCCGAGCTTGTGAAACCTGGCGCCTCTGTGAAGATGAGCTGCAAGGCCTCCGGCTACACCTTCACCAGATACTGGATCACCTGGGTCAAGCAGAGGCCTGGACAGGGACTCGAGTGGATCGGCGATATCTATCCTGGCTCCGGCTTCACCAAGTACAACGAGAAGTTCAAGAGCAAGGCCACACTGACCGTGGACACCAGCAGCAGCACAGCCTACATGCAGCTGTCTAGCCTGACCAGCGAGGACAGCGCCGTGTACTACTGTGCTAGAGAAGGCGGCAACTACTGGTACTTCGACGTGTGGGGCACCGGCACCACAGTGACAGTTAGTTCT [SEQ ID No:13]
thus, preferably, the first coding sequence comprises a sequence substantially as set forth in SEQ ID No:13 or a fragment or variant thereof.
In one embodiment, the first coding sequence (which may encode a VH sequence for binding a TCR Vbeta, preferably a TCR-Vbeta 7.1 chain) encodes a sequence referred to herein as SEQ ID No:34, as follows:
DIQMTQSPSSLSASLGGKVTLTCKASQDINKYIAWYQHKPGKGPRLLIHYTSTLQPGIPSRFSGSGSGRDYSFSISNLEPEDVATYYCLQYDNLRTFGGGTKLEIKRTD [SEQ ID No:34]
thus, preferably, the first coding sequence comprises a sequence encoding a sequence substantially as set forth in SEQ ID No:34 or a fragment or variant thereof.
In one embodiment, the first coding sequence (which may encode a VH sequence for binding a TCR Vbeta, preferably a TCR-Vbeta 7.1 chain) comprises a sequence referred to herein as SEQ ID No:35, as follows:
GACATCCAGATGACACAGAGCCCTAGCAGCCTGTCTGCCTCTCTCGGCGGAAAAGTGACCCTGACATGCAAGGCCAGCCAGGACATCAACAAGTATATCGCCTGGTATCAGCACAAGCCCGGCAAGGGACCTAGACTGCTGATCCACTACACCAGCACACTGCAGCCTGGCATCCCCAGCAGATTTTCTGGCAGCGGCTCCGGCAGAGACTACAGCTTCAGCATCAGCAACCTGGAACCTGAGGACGTGGCCACCTACTACTGCCTGCAGTACGACAACCTGCGGACCTTTGGCGGCGGAACAAAGCTGGAAATCAAGCGGACAGAT [SEQ ID No:35]
thus, preferably, the first coding sequence comprises a sequence substantially as set forth in SEQ ID No:35 or a fragment or variant thereof.
Preferably, the VH (e.g., SEQ ID No: 35) and VL (e.g., SEQ ID No: 13) sequences are separated by a linker sequence when in either orientation. In one embodiment, the linker sequence may be a G4S linker sequence, which may comprise a sequence substantially as set forth in SEQ ID No:10 or a fragment or variant thereof or consists of the amino acid sequence shown in figure 10. Thus, preferably, the linker sequence comprises a sequence substantially as set forth in SEQ ID No:11 or a fragment or variant thereof.
The nucleic acid construct may comprise a nucleotide sequence encoding a CD8a hinge and a Transmembrane (TM) domain. Advantageously, the hinge and TM domains are configured for CAR display and anchoring on CAR-T cells. Preferably, the sequence encoding the hinge and TM domains is located 3' to the first coding sequence.
In one embodiment, the amino acid sequence of the CD8a hinge and transmembrane domain is referred to herein as SEQ ID No:14, as follows:
FVPVFLPAKPTTTPAPRPPTPAPTIASQPLSLRPEACRPAAGGAVHTRGLDFACDIYIWAPLAGTCGVLLLSLVITLYCNHRN [SEQ ID No:14]
thus, preferably, the construct comprises a sequence encoding a sequence substantially as set forth in SEQ ID No:14 or a fragment or variant thereof.
In one embodiment, the nucleotide sequence encoding the CD8a hinge and transmembrane domain is referred to herein as SEQ ID No:15, as follows:
TTCGTGCCGGTCTTCCTGCCAGCGAAGCCCACCACGACGCCAGCGCCGCGACCACCAACACCGGCGCCCACCATCGCGTCGCAGCCCCTGTCCCTGCGCCCAGAGGCGTGCCGGCCAGCGGCGGGGGGCGCAGTGCACACGAGGGGGCTGGACTTCGCCTGTGATATCTACATCTGGGCGCCCTTGGCCGGGACTTGTGGGGTCCTTCTCCTGTCACTGGTTATCACCCTTTACTGCAACCACAGGAAC [SEQ ID No:15]
Thus, preferably, the construct comprises a sequence substantially as set forth in SEQ ID No:15 or a fragment or variant thereof.
The nucleic acid construct may comprise a nucleotide sequence encoding an intracellular domain, which may comprise the signaling domain of CD28, the signaling domain of 4-1BB and/or the CD3 zeta chain, with the signaling domain of CD28, the signaling domain of 4-1BB and the CD3 zeta chain being more preferred. It is understood that these components form the basis of third generation CARs and are necessary to trigger intracellular signaling pathways. Preferably, the intracellular domain is located 3' to the sequence encoding the hinge and transmembrane domains. The signaling domain of CD28 may be 5' to the signaling domain of 4-1 BB. The signaling domain of 4-1BB may be 5' of the CD3 zeta chain.
One embodiment of a CD28 signaling domain may have a sequence referred to herein as SEQ ID No:16, as follows:
RSKRSRLLHSDYMNMTPRRPGPTRKHYQPYAPPRDFAAYRS
[SEQ ID No:16]
thus, preferably, the construct comprises a sequence encoding a sequence substantially as set forth in SEQ ID No:16 or a fragment or variant thereof.
In one embodiment, the CD28 signaling domain may be represented by the sequence herein as SEQ ID No:17, as follows:
AGGAGTAAGAGGAGCAGGCTCCTGCACAGTGACTACATGAACATGACTCCCCGCCGCCCCGGGCCCACCCGCAAGCATTACCAGC
CCTATGCCCCACCACGCGACTTCGCAGCCTATCGCTCC
[SEQ ID No:17]
Thus, preferably, the construct comprises a sequence substantially as set forth in SEQ ID No:17 or a fragment or variant thereof.
One embodiment of the 4-1BB signaling domain may have a sequence referred to herein as SEQ ID No:18, as follows:
RFSVVKRGRKKLLYIFKQPFMRPVQTTQEEDGCSCRFPEEEEGGCEL
[SEQ ID No:18]
thus, preferably, the construct comprises a sequence encoding a sequence substantially as set forth in SEQ ID No:18 or a fragment or variant thereof.
In one embodiment, the 4-1BB signaling domain may be defined herein as SEQ ID No:19, as follows:
CGTTTCTCTGTTGTTAAACGGGGCAGAAAGAAGCTCCTGTATATATTCAAACAACCATTTATGAGACCAGTACAAACTACTCAAG
AGGAAGATGGCTGTAGCTGCCGATTTCCAGAAGAAGAAGAAGGAGGATGTGAACTG
[SEQ ID No:19]
thus, preferably, the construct comprises a sequence substantially as set forth in SEQ ID No:19 or a fragment or variant thereof. One embodiment of a CD3 zeta chain may have a sequence referred to herein as SEQ ID No:20, as follows:
RVKFSRSADAPAYQQGQNQLYNELNLGRREEYDVLDKRRGRDPEMGGKPRRKNPQEGLYNELQKDKMAEAYSEIGMKGERRRGKG
HDGLYQGLSTATKDTYDALHMQALPPR
[SEQ ID No:20]
thus, preferably, the construct comprises a sequence encoding a sequence substantially as set forth in SEQ ID No:20 or a fragment or variant thereof.
In one embodiment, the cd3ζ chain may be defined herein as SEQ ID No:21, as follows:
AGAGTGAAGTTCAGCAGGAGCGCAGACGCCCCCGCGTACCAGCAGGGCCAGAACCAGCTCTATAACGAGCTCAATCTAGGACGAA
GAGAGGAGTACGATGTTTTGGACAAGAGACGTGGCCGGGACCCTGAGATGGGGGGAAAGCCGAGAAGGAAGAACCCTCAGGAAGG
CCTGTACAATGAACTGCAGAAAGATAAGATGGCGGAGGCCTACAGTGAGATTGGGATGAAAGGCGAGCGCCGGAGGGGCAAGGGG
CACGATGGCCTTTACCAGGGTCTCAGTACAGCCACCAAGGACACCTACGACGCCCTTCACATGCAGGCCCTGCCCCCTCGC
[SEQ ID No:21]
thus, preferably, the construct comprises a sequence substantially as set forth in SEQ ID No:21 or a fragment or variant thereof.
Preferably, the nucleic acid construct comprises a second coding sequence encoding at least one suicide protein, more preferably at least two suicide proteins. An advantage of the construct of the invention is that a second coding sequence encoding at least one suicide protein is present, which means that the resulting CAR-T cells transduced with the construct can be controllably or inductively detected or eliminated, for example in the event of an adverse reaction in the patient.
Thus, preferably, in one embodiment, provided herein is a nucleic acid construct comprising a promoter operably linked to a first coding sequence encoding an anti-CD 4 Chimeric Antigen Receptor (CAR) and a second coding sequence encoding at least one suicide protein, more preferably at least two suicide proteins.
Preferably, in another embodiment, provided herein is a nucleic acid construct comprising a promoter operably linked to a first coding sequence encoding an anti-T Cell Receptor (TCR) Vbeta CAR and a second coding sequence encoding at least one suicide protein, more preferably at least two suicide proteins.
In yet another embodiment, preferably provided herein is a nucleic acid construct comprising a promoter operably linked to a first coding sequence encoding a plurality of anti-T Cell Receptor (TCR) Vbeta CARs, wherein different Vbeta regions on the T cells are targeted, and a second coding sequence encoding at least one suicide protein, more preferably at least two suicide proteins.
In one embodiment, the second coding sequence may encode an Epidermal Growth Factor Receptor (EGFR) or a truncated epidermal growth factor receptor (tEGFR) (UniProt No. P00533; NCBI reference sequence NP-001333826.1). Expression of tgfr can be controlled by anti-EGFR mAb (cetuximab) to monitor or eliminate CAR-T cells in patients. In one embodiment, the amino acid sequence of tgfr may be referred to herein as SEQ ID No:22, as follows:
MLLLVTSLLLCELPHPAFLLIPRKVCNGIGIGEFKDSLSINATNIKHFKNCTSISGDLHILPVAFRGDSFTHTPPLDPQELDILK
TVKEITGFLLIQAWPENRTDLHAFENLEIIRGRTKQHGQFSLAVVSLNITSLGLRSLKEISDGDVIISGNKNLCYANTINWKKLF
GTSGQKTKIISNRGENSCKATGQVCHALCSPEGCWGPEPRDCVSCRNVSRGRECVDKCNLLEGEPREFVENSECIQCHPECLPQA
MNITCTGRGPDNCIQCAHYIDGPHCVKTCPAGVMGENNTLVWKYADAGHVCHLCHPNCTYGCTGPGLEGCPTNGPKIPSIATGMV
GALLLLLVVALGIGLFM
[SEQ ID No:22]
thus, preferably, the construct comprises a sequence encoding a sequence substantially as set forth in SEQ ID No:22 or a fragment or variant thereof.
In one embodiment, tgfr may consist of the sequence referred to herein as SEQ ID No:23, as follows:
ATGCTTCTCCTGGTGACAAGCCTTCTGCTCTGTGAGTTACCACACCCAGCATTCCTCCTGATCCCACGCAAAGTGTGTAACGGAA
TAGGTATTGGTGAATTTAAAGACTCACTCTCCATAAATGCTACGAATATTAAACACTTCAAAAACTGCACCTCCATCAGTGGCGA
TCTCCACATCCTGCCGGTGGCATTTAGGGGTGACTCCTTCACACATACTCCTCCTCTGGATCCACAGGAACTGGATATTCTGAAA
ACCGTAAAGGAAATCACAGGGTTTTTGCTGATTCAGGCTTGGCCTGAAAACAGGACGGACCTCCATGCCTTTGAGAACCTAGAAA
TCATACGCGGCAGGACCAAGCAACATGGTCAGTTTTCTCTTGCAGTCGTCAGCCTGAACATAACATCCTTGGGATTACGCTCCCT
CAAGGAGATAAGTGATGGAGATGTGATAATTTCAGGAAACAAAAATTTGTGCTATGCAAATACAATAAACTGGAAAAAACTGTTT
GGGACCTCCGGTCAGAAAACCAAAATTATAAGCAACAGAGGTGAAAACAGCTGCAAGGCCACAGGCCAGGTCTGCCATGCCTTGT
GCTCCCCCGAGGGCTGCTGGGGCCCGGAACCCAGGGACTGCGTCTCTTGCCGGAATGTCAGCCGAGGCAGGGAATGCGTGGACAA
GTGCAACCTTCTGGAGGGTGAGCCAAGGGAGTTTGTGGAGAACTCTGAGTGCATACAGTGCCACCCAGAGTGCCTGCCTCAGGCC
ATGAACATCACCTGCACAGGACGGGGACCAGACAACTGTATCCAGTGTGCCCACTACATTGACGGCCCCCACTGCGTCAAGACCT
GCCCGGCAGGAGTCATGGGAGAAAACAACACCCTGGTCTGGAAGTACGCAGACGCCGGCCATGTGTGCCACCTGTGCCATCCAAA
CTGCACCTACGGATGCACTGGGCCAGGTCTTGAAGGCTGTCCAACGAATGGGCCTAAGATCCCGTCCATCGCCACTGGGATGGTG
GGGGCCCTCCTCTTGCTGCTGGTGGTGGCCCTGGGGATCGGCCTCTTCATG
[SEQ ID No:23]
thus, preferably, the construct comprises a sequence substantially as set forth in SEQ ID No:23 or a fragment or variant thereof.
In another embodiment, the second coding sequence may encode an inducible caspase 9 (iC 9). iC9 is a modified human caspase 9 (UniProt No. p55211; NCBI reference sequence np_ 001220.2), fused to human FK506 binding protein (UniProt No. p62942; NCBI reference sequence np_ 000792.1), allowing conditional dimerization using dimerization chemistry inducers (caspase-induced drug (CID), rimiducid), triggering CAR-T cell apoptosis expressing fusion proteins. In one embodiment, the amino acid sequence of iC9 may be referred to herein as SEQ ID No:24, as follows:
MLEGVQVETISPGDGRTFPKRGQTCVVHYTGMLEDGKKVDSSRDRNKPFKFMLGKQEVIRGWEEGVAQMSVGQRAKLTISPDYAY
GATGHPGIIPPHATLVFDVELLKLESGGGSGVDGFGDVGALESLRGNADLAYILSMEPCGHCLIINNVNFCRESGLRTRTGSNID
CEKLRRRFSSLHFMVEVKGDLTAKKMVLALLELAQQDHGALDCCVVVILSHGCQASHLQFPGAVYGTDGCPVSVEKIVNIFNGTS
CPSLGGKPKLFFIQACGGEQKDHGFEVASTSPEDESPGSNPEPDATPFQEGLRTFDQLDAISSLPTPSDIFVSYSTFPGFVSWRDPKSGSWYVETLDDIFEQWAHSEDLQSLLLRVANAVSVKGIYKQMPGCFNFLRKKLFFKTSVDYPYDVPDYALD*
[SEQ ID No:24]
Thus, preferably, the construct comprises a sequence encoding a sequence substantially as set forth in SEQ ID No:24 or a fragment or variant thereof.
In one embodiment, iC9 may consist of the amino acid sequence referred to herein as SEQ ID No:25, as follows:
ATGCTCGAGGGAGTGCAGGTGGAAACCATCTCCCCAGGAGACGGGCGCACCTTCCCCAAGCGCGGCCAGACCTGCGTGGTGCACT
ACACCGGGATGCTTGAAGATGGAAAGAAAGTTGATTCCTCCCGGGACAGAAACAAGCCCTTTAAGTTTATGCTAGGCAAGCAGGA
GGTGATCCGAGGCTGGGAAGAAGGGGTTGCCCAGATGAGTGTGGGTCAGAGAGCCAAACTGACTATATCTCCAGATTATGCCTAT
GGTGCCACTGGGCACCCAGGCATCATCCCACCACATGCCACTCTCGTCTTCGATGTGGAGCTTCTAAAACTGGAATCTGGCGGTG
GATCCGGAGTCGACGGATTTGGTGATGTCGGTGCTCTTGAGAGTTTGAGGGGAAATGCAGATTTGGCTTACATCCTGAGCATGGA
GCCCTGTGGCCACTGCCTCATTATCAACAATGTGAACTTCTGCCGTGAGTCCGGGCTCCGCACCCGCACTGGCTCCAACATCGAC
TGTGAGAAGTTGCGGCGTCGCTTCTCCTCGCTGCATTTCATGGTGGAGGTGAAGGGCGACCTGACTGCCAAGAAAATGGTGCTGG
CTTTGCTGGAGCTGGCGCAGCAGGACCACGGTGCTCTGGACTGCTGCGTGGTGGTCATTCTCTCTCACGGCTGTCAGGCCAGCCA
CCTGCAGTTCCCAGGGGCTGTCTACGGCACAGATGGATGCCCTGTGTCGGTCGAGAAGATTGTGAACATCTTCAATGGGACCAGC
TGCCCCAGCCTGGGAGGGAAGCCCAAGCTCTTTTTCATCCAGGCCTGTGGTGGGGAGCAGAAAGACCATGGGTTTGAGGTGGCCT
CCACTTCCCCTGAAGACGAGTCCCCTGGCAGTAACCCCGAGCCAGATGCCACCCCGTTCCAGGAAGGTTTGAGGACCTTCGACCA
GCTGGACGCCATATCTAGTTTGCCCACACCCAGTGACATCTTTGTGTCCTACTCTACTTTCCCAGGTTTTGTTTCCTGGAGGGAC
CCCAAGAGTGGCTCCTGGTACGTTGAGACCCTGGACGACATCTTTGAGCAGTGGGCTCACTCTGAAGACCTGCAGTCCCTCCTGC
TTAGGGTCGCTAATGCTGTTTCGGTGAAAGGGATTTATAAACAGATGCCTGGTTGCTTTAATTTCCTCCGGAAAAAACTTTTCTT
TAAAACATCAGTCGACTATCCGTACGACGTACCAGACTACGCACTCGACTAA
[SEQ ID No:25]
thus, preferably, the construct comprises a sequence substantially as set forth in SEQ ID No:25 or a fragment or variant thereof.
Preferably, the nucleic acid construct of the invention comprises coding sequences encoding EGFR or truncated epidermal growth factor receptor (tgfr) and/or inducible caspase 9 (iC 9). Having one suicide gene can provide powerful control (detection and/or elimination) of CAR and CAR-MAIT cell expression when used in therapy.
More preferably, however, the nucleic acid construct comprises coding sequences encoding a truncated epidermal growth factor receptor (tgfr) and an inducible caspase 9 (iC 9). Advantageously, having two suicide genes can provide tighter control (detection and/or elimination) of CAR and CAR-MAIT cell expression when used in therapy.
Preferably, the nucleic acid construct comprises a nucleotide sequence encoding a peptide spacer, wherein the peptide spacer can be digested (or self-cleaving) to produce the encoded polypeptide as a separate molecule flanking the spacer, e.g., the intracellular domain and the protein encoded by the suicide gene, which can be tgfr and/or iC9. Thus, a peptide spacer may be referred to as a self-cleaving peptide.
Preferably, the spacer sequence comprises and encodes a viral peptide spacer sequence, more preferably a viral 2A peptide spacer sequence (Furler S, paterna J-C, weibel M and Bueler H Recombinant AAV vectors containing the foot and mouth disease virus 2A sequence confer efficient bicistronic gene expression in cultured cells and rat substantia nigra neurons Gene Ther.2001,vol.8,PP:864-873).
Preferably, the spacer sequence encoding the 2A peptide sequence links the sequence encoding the intracellular domain to the sequence encoding the suicide protein. In embodiments where the construct encodes two suicide proteins (e.g., EGFR/tgfr and iC 9), the nucleic acid construct comprises a first spacer sequence disposed between the sequence encoding the intracellular domain and the sequence encoding the first suicide protein, and a second spacer sequence disposed between the sequence encoding the first suicide protein and the sequence encoding the second suicide protein. The first suicide protein may be EGFR/tgfr and the second suicide protein may be iC9. In another embodiment, the first suicide protein may be iC9 and the second suicide protein may be EGFR/tgfr.
The 2A spacer sequence may be any known variant, including those sequences known as E2A, F2A, P A and T2A, as described in Wang Y et al (Wang Y et al scientific Reports 2015,5). Preferably, the self-cleaving peptide is P2A. In one embodiment, the P2A spacer has a sequence referred to herein as SEQ ID No:26, as follows:
GSGATNFSLLKQAGDVEENPGP
[SEQ ID No:26]
Thus, preferably, the construct comprises a sequence encoding a sequence substantially as set forth in SEQ ID No:26 or a fragment or variant thereof.
In one embodiment, the 2A spacer may consist of the sequence referred to herein as SEQ ID No:27, as follows:
GGATCCGGAGCCACGAACTTCTCTCTGTTAAAGCAAGCAGGAGACGTGGAAGAAAACCCCGGTCCT
thus, preferably, the construct comprises a sequence substantially as set forth in SEQ ID No:27 or a fragment or variant thereof.
In further embodiments, the construct may further comprise a nucleotide sequence encoding a woodchuck hepatitis virus post-transcriptional regulatory element (WPRE) that enhances expression of the transgene. Preferably, the WPRE coding sequence is located 3' to the suicide protein coding sequence. In particular, the WPRE sequence is preferably 3' of the iC9 coding sequence.
One embodiment of the WPRE is 592bp long, comprising a γ - α - β element, and is referred to herein as SEQ ID No:28, as follows:
AATCAACCTCTGGATTACAAAATTTGTGAAAGATTGACTGGTATTCTTAACTATGTTGCTCCTTTTACGCTATGTGGATACGCTG
CTTTAATGCCTTTGTATCATGCTATTGCTTCCCGTATGGCTTTCATTTTCTCCTCCTTGTATAAATCCTGGTTGCTGTCTCTTTA
TGAGGAGTTGTGGCCCGTTGTCAGGCAACGTGGCGTGGTGTGCACTGTGTTTGCTGACGCAACCCCCACTGGTTGGGGCATTGCC
ACCACCTGTCAGCTCCTTTCCGGGACTTTCGCTTTCCCCCTCCCTATTGCCACGGCGGAACTCATCGCCGCCTGCCTTGCCCGCT
GCTGGACAGGGGCTCGGCTGTTGGGCACTGACAATTCCGTGGTGTTGTCGGGGAAGCTGACGTCCTTTCCATGGCTGCTCGCCTG
TGTTGCCACCTGGATTCTGCGCGGGACGTCCTTCTGCTACGTCCCTTCGGCCCTCAATCCAGCGGACCTTCCTTCCCGCGGCCTG
CTGCCGGCTCTGCGGCCTCTTCCGCGTCTTCGCCTTCGCCCTCAGACGAGTCGGATCTCCCTTTGGGCCGCCTCCCCGCCTG
[SEQ ID NO:28]
preferably, the nucleic acid comprises a nucleotide sequence substantially as set forth in SEQ ID No:28 or a fragment or variant thereof.
Preferably, the construct comprises left (i.e., 5 ') and/or right (i.e., 3') Long Terminal Repeats (LTRs). Preferably, each LTR is located at the 5 'and/or 3' end of the construct.
In a preferred embodiment, the nucleic acid construct comprises a 5' promoter in this particular order; a sequence encoding an scFv specific for the CD4 or TCR Vbeta region; and a 3' sequence encoding an intracellular domain. The use of 5 'and 3' indicates that the feature is upstream or downstream and is not intended to indicate that the feature is necessarily a terminal feature.
In a preferred embodiment, the nucleic acid construct comprises a 5' promoter in this particular order; a sequence encoding an scFv specific for the CD4 or TCR Vbeeta region; a sequence encoding an intracellular domain; and a 3' sequence encoding at least one suicide protein.
In a more preferred embodiment, the nucleic acid construct comprises a 5' promoter (preferably PGK promoter) in this particular order; a sequence encoding an scFv specific for CD4 or one or more TCR Vbeta regions (preferably VL and/or VH domains); sequences encoding intracellular domains (preferably CD28, 4-1BB and/or CD3 zeta chains); 3' sequences encoding at least one suicide protein, preferably EGFR/EGFRt and/or iC 9.
In yet a more preferred embodiment, the nucleic acid construct comprises a 5' promoter (preferably PGK promoter) in this particular order; a sequence encoding a Signal Peptide (SP); a sequence encoding an scFv specific for CD4 or one or more TCR Vbeta regions (VL and VH domains preferably separated by a G4S linker); sequences encoding a CD8a hinge and a transmembrane domain; sequences encoding intracellular domains (preferably CD28, 4-1BB and CD3 zeta chains); the 3' sequence encoding at least one suicide protein (preferably EGFR/EGFR and iC 9), optionally with a self-cleaving peptide spacer between the sequence encoding the intracellular domain and the suicide protein coding sequence.
In a first most preferred embodiment (referred to as "CART 4"), the nucleic acid construct comprises the 5' pgk promoter in this particular order; a sequence encoding a Signal Peptide (SP); sequences encoding VL and VH domains of scFv specific for CD4 (preferably separated by a G4S linker); sequences encoding a CD8a hinge and a transmembrane domain; sequences encoding the CD28, 4-1BB and CD3 zeta chains of the intracellular domain; a sequence encoding a first self-cleaving peptide spacer; a sequence encoding EGFR/EGFRt; a sequence encoding a second self-cleaving peptide spacer; 3' sequence encoding iC 9.
In a second most preferred embodiment (referred to as "cartvb7.1"), the nucleic acid construct comprises the 5' pgk promoter in this particular order; a sequence encoding a Signal Peptide (SP); sequences encoding VL and VH domains of scFv specific for one or more TCR Vbeta regions, preferably TCR-Vbeta 7.1 chains (preferably separated by a G4S linker); sequences encoding a CD8a hinge and a transmembrane domain; sequences encoding the CD28, 4-1BB and CD3 zeta chains of the intracellular domain; a sequence encoding a first self-cleaving peptide spacer; a sequence encoding EGFR/EGFRt; a sequence encoding a second self-cleaving peptide spacer; 3' sequence encoding iC 9.
Thus, a preferred embodiment of the nucleic acid construct (referred to as "CART 4") has a sequence referred to herein as SEQ ID No:29, as follows:
METDTLLLWVLLLWVPGSTGDDIVMTQSPDSLAVSLGERVTMNCKSSQSLLYSTNQKNYLAWYQQKPGQSPKLLIYWASTRESGV
PDRFSGSGSGTDFTLTISSVQAEDVAVYYCQQYYSYRTFGGGTKLEIKGGGGSGGGGSGGGGSQVQLQQSGPEVVKPGASVKMSC
KASGYTFTSYVIHWVRQKPGQGLDWIGYINPYNDGTDYDEKFKGKATLTSDTSTSTAYMELSSLRSEDTAVYYCAREKDNYATGA
WFAYWGQGTLVTVSSAAAFVPVFLPAKPTTTPAPRPPTPAPTIASQPLSLRPEACRPAAGGAVHTRGLDFACDIYIWAPLAGTCG
VLLLSLVITLYCNHRNRSKRSRLLHSDYMNMTPRRPGPTRKHYQPYAPPRDFAAYRSRFSVVKRGRKKLLYIFKQPFMRPVQTTQ
EEDGCSCRFPEEEEGGCELRVKFSRSADAPAYQQGQNQLYNELNLGRREEYDVLDKRRGRDPEMGGKPRRKNPQEGLYNELQKDK
MAEAYSEIGMKGERRRGKGHDGLYQGLSTATKDTYDALHMQALPPRGSGATNFSLLKQAGDVEENPGPMLLLVTSLLLCELPHPA
FLLIPRKVCNGIGIGEFKDSLSINATNIKHFKNCTSISGDLHILPVAFRGDSFTHTPPLDPQELDILKTVKEITGFLLIQAWPEN
RTDLHAFENLEIIRGRTKQHGQFSLAVVSLNITSLGLRSLKEISDGDVIISGNKNLCYANTINWKKLFGTSGQKTKIISNRGENS
CKATGQVCHALCSPEGCWGPEPRDCVSCRNVSRGRECVDKCNLLEGEPREFVENSECIQCHPECLPQAMNITCTGRGPDNCIQCA
HYIDGPHCVKTCPAGVMGENNTLVWKYADAGHVCHLCHPNCTYGCTGPGLEGCPTNGPKIPSIATGMVGALLLLLVVALGIGLFM
GSGATNFSLLKQAGDVEENPGPMLEGVQVETISPGDGRTFPKRGQTCVVHYTGMLEDGKKVDSSRDRNKPFKFMLGKQEVIRGWE
EGVAQMSVGQRAKLTISPDYAYGATGHPGIIPPHATLVFDVELLKLESGGGSGVDGFGDVGALESLRGNADLAYILSMEPCGHCL
IINNVNFCRESGLRTRTGSNIDCEKLRRRFSSLHFMVEVKGDLTAKKMVLALLELAQQDHGALDCCVVVILSHGCQASHLQFPGA
VYGTDGCPVSVEKIVNIFNGTSCPSLGGKPKLFFIQACGGEQKDHGFEVASTSPEDESPGSNPEPDATPFQEGLRTFDQLDAISS
LPTPSDIFVSYSTFPGFVSWRDPKSGSWYVETLDDIFEQWAHSEDLQSLLLRVANAVSVKGIYKQMPGCFNFLRKKLFFKTSVDYPYDVPDYALD*
[SEQ ID No:29]
Thus, preferably, the construct comprises a sequence encoding a sequence substantially as set forth in SEQ ID No:29 or a fragment or variant thereof.
Preferably, an embodiment of the nucleic acid construct (referred to as "CART 4") has a sequence referred to herein as SEQ ID No:30, as follows:
ATGGAGACAGACACACTCCTGCTATGGGTGCTGCTGCTCTGGGTTCCAGGTTCCACAGGTGACGACATTGTGATGACTCAGAGCC
CCGACAGCCTGGCCGTCTCACTGGGCGAAAGGGTGACCATGAATTGTAAATCTTCTCAGAGCCTGCTGTACAGTACAAACCAGAA
AAATTACCTGGCCTGGTATCAGCAGAAACCCGGCCAGAGCCCTAAGCTGCTGATCTATTGGGCAAGTACCCGAGAGTCAGGAGTG
CCAGACAGATTCTCCGGGTCTGGAAGTGGCACAGACTTCACCCTGACAATTAGCTCCGTGCAGGCCGAGGACGTGGCTGTCTACT
ATTGCCAGCAGTACTATAGCTACCGAACTTTCGGCGGGGGAACCAAACTGGAAATCAAGGGAGGAGGAGGCAGTGGCGGAGGAGG
GTCAGGAGGAGGAGGAAGCCAGGTGCAGCTGCAGCAGTCCGGACCAGAGGTGGTCAAACCCGGCGCTAGCGTCAAAATGTCCTGT
AAGGCATCTGGCTACACTTTCACCTCTTATGTGATTCACTGGGTCAGACAGAAGCCTGGGCAGGGACTGGACTGGATCGGGTACA
TTAACCCATATAATGATGGAACTGACTACGATGAAAAGTTTAAAGGCAAGGCCACACTGACTTCCGACACCTCAACAAGCACTGC
TTATATGGAGCTGTCTAGTCTGAGGTCTGAAGACACAGCAGTGTACTATTGCGCCCGCGAGAAGGATAACTACGCCACTGGCGCT
TGGTTTGCATATTGGGGCCAGGGGACCCTGGTGACAGTCTCATCCGCGGCCGCATTCGTGCCGGTCTTCCTGCCAGCGAAGCCCA
CCACGACGCCAGCGCCGCGACCACCAACACCGGCGCCCACCATCGCGTCGCAGCCCCTGTCCCTGCGCCCAGAGGCGTGCCGGCC
AGCGGCGGGGGGCGCAGTGCACACGAGGGGGCTGGACTTCGCCTGTGATATCTACATCTGGGCGCCCTTGGCCGGGACTTGTGGG
GTCCTTCTCCTGTCACTGGTTATCACCCTTTACTGCAACCACAGGAACAGGAGTAAGAGGAGCAGGCTCCTGCACAGTGACTACA
TGAACATGACTCCCCGCCGCCCCGGGCCCACCCGCAAGCATTACCAGCCCTATGCCCCACCACGCGACTTCGCAGCCTATCGCTC
CCGTTTCTCTGTTGTTAAACGGGGCAGAAAGAAGCTCCTGTATATATTCAAACAACCATTTATGAGACCAGTACAAACTACTCAA
GAGGAAGATGGCTGTAGCTGCCGATTTCCAGAAGAAGAAGAAGGAGGATGTGAACTGAGAGTGAAGTTCAGCAGGAGCGCAGACG
CCCCCGCGTACCAGCAGGGCCAGAACCAGCTCTATAACGAGCTCAATCTAGGACGAAGAGAGGAGTACGATGTTTTGGACAAGAG
ACGTGGCCGGGACCCTGAGATGGGGGGAAAGCCGAGAAGGAAGAACCCTCAGGAAGGCCTGTACAATGAACTGCAGAAAGATAAG
ATGGCGGAGGCCTACAGTGAGATTGGGATGAAAGGCGAGCGCCGGAGGGGCAAGGGGCACGATGGCCTTTACCAGGGTCTCAGTA
CAGCCACCAAGGACACCTACGACGCCCTTCACATGCAGGCCCTGCCCCCTCGCGGATCCGGAGCCACGAACTTCTCTCTGTTAAA
GCAAGCAGGAGACGTGGAAGAAAACCCCGGTCCTATGCTTCTCCTGGTGACAAGCCTTCTGCTCTGTGAGTTACCACACCCAGCA
TTCCTCCTGATCCCACGCAAAGTGTGTAACGGAATAGGTATTGGTGAATTTAAAGACTCACTCTCCATAAATGCTACGAATATTA
AACACTTCAAAAACTGCACCTCCATCAGTGGCGATCTCCACATCCTGCCGGTGGCATTTAGGGGTGACTCCTTCACACATACTCC
TCCTCTGGATCCACAGGAACTGGATATTCTGAAAACCGTAAAGGAAATCACAGGGTTTTTGCTGATTCAGGCTTGGCCTGAAAAC
AGGACGGACCTCCATGCCTTTGAGAACCTAGAAATCATACGCGGCAGGACCAAGCAACATGGTCAGTTTTCTCTTGCAGTCGTCA
GCCTGAACATAACATCCTTGGGATTACGCTCCCTCAAGGAGATAAGTGATGGAGATGTGATAATTTCAGGAAACAAAAATTTGTG
CTATGCAAATACAATAAACTGGAAAAAACTGTTTGGGACCTCCGGTCAGAAAACCAAAATTATAAGCAACAGAGGTGAAAACAGC
TGCAAGGCCACAGGCCAGGTCTGCCATGCCTTGTGCTCCCCCGAGGGCTGCTGGGGCCCGGAACCCAGGGACTGCGTCTCTTGCC
GGAATGTCAGCCGAGGCAGGGAATGCGTGGACAAGTGCAACCTTCTGGAGGGTGAGCCAAGGGAGTTTGTGGAGAACTCTGAGTG
CATACAGTGCCACCCAGAGTGCCTGCCTCAGGCCATGAACATCACCTGCACAGGACGGGGACCAGACAACTGTATCCAGTGTGCC
CACTACATTGACGGCCCCCACTGCGTCAAGACCTGCCCGGCAGGAGTCATGGGAGAAAACAACACCCTGGTCTGGAAGTACGCAG
ACGCCGGCCATGTGTGCCACCTGTGCCATCCAAACTGCACCTACGGATGCACTGGGCCAGGTCTTGAAGGCTGTCCAACGAATGG
GCCTAAGATCCCGTCCATCGCCACTGGGATGGTGGGGGCCCTCCTCTTGCTGCTGGTGGTGGCCCTGGGGATCGGCCTCTTCATG
GGATCTGGAGCCACGAACTTCTCTCTGTTAAAGCAAGCAGGAGACGTGGAAGAAAACCCCGGTCCTATGCTCGAGGGAGTGCAGG
TGGAAACCATCTCCCCAGGAGACGGGCGCACCTTCCCCAAGCGCGGCCAGACCTGCGTGGTGCACTACACCGGGATGCTTGAAGA
TGGAAAGAAAGTTGATTCCTCCCGGGACAGAAACAAGCCCTTTAAGTTTATGCTAGGCAAGCAGGAGGTGATCCGAGGCTGGGAA
GAAGGGGTTGCCCAGATGAGTGTGGGTCAGAGAGCCAAACTGACTATATCTCCAGATTATGCCTATGGTGCCACTGGGCACCCAG
GCATCATCCCACCACATGCCACTCTCGTCTTCGATGTGGAGCTTCTAAAACTGGAATCTGGCGGTGGATCCGGAGTCGACGGATT
TGGTGATGTCGGTGCTCTTGAGAGTTTGAGGGGAAATGCAGATTTGGCTTACATCCTGAGCATGGAGCCCTGTGGCCACTGCCTC
ATTATCAACAATGTGAACTTCTGCCGTGAGTCCGGGCTCCGCACCCGCACTGGCTCCAACATCGACTGTGAGAAGTTGCGGCGTC
GCTTCTCCTCGCTGCATTTCATGGTGGAGGTGAAGGGCGACCTGACTGCCAAGAAAATGGTGCTGGCTTTGCTGGAGCTGGCGCA
GCAGGACCACGGTGCTCTGGACTGCTGCGTGGTGGTCATTCTCTCTCACGGCTGTCAGGCCAGCCACCTGCAGTTCCCAGGGGCT
GTCTACGGCACAGATGGATGCCCTGTGTCGGTCGAGAAGATTGTGAACATCTTCAATGGGACCAGCTGCCCCAGCCTGGGAGGGA
AGCCCAAGCTCTTTTTCATCCAGGCCTGTGGTGGGGAGCAGAAAGACCATGGGTTTGAGGTGGCCTCCACTTCCCCTGAAGACGA
GTCCCCTGGCAGTAACCCCGAGCCAGATGCCACCCCGTTCCAGGAAGGTTTGAGGACCTTCGACCAGCTGGACGCCATATCTAGT
TTGCCCACACCCAGTGACATCTTTGTGTCCTACTCTACTTTCCCAGGTTTTGTTTCCTGGAGGGACCCCAAGAGTGGCTCCTGGT
ACGTTGAGACCCTGGACGACATCTTTGAGCAGTGGGCTCACTCTGAAGACCTGCAGTCCCTCCTGCTTAGGGTCGCTAATGCTGT
TTCGGTGAAAGGGATTTATAAACAGATGCCTGGTTGCTTTAATTTCCTCCGGAAAAAACTTTTCTTTAAAACATCAGTCGACTAT
CCGTACGACGTACCAGACTACGCACTCGACTAA
[SEQ ID No:30]
thus, preferably, the construct comprises a sequence substantially as set forth in SEQ ID No:30 or a fragment or variant thereof.
Thus, a second preferred embodiment of the nucleic acid construct (referred to as "cartvb7.1") has a sequence referred to herein as SEQ id no:31, as follows:
MALPVTALLLPLALLLHAARPDIQMTQSPSSLSASLGGKVTLTCKASQDINKYIAWYQHKPGKGPRLLIHYTSTLQPGIPSRFSG
SGSGRDYSFSISNLEPEDVATYYCLQYDNLRTFGGGTKLEIKRTDGGGGSGGGGSGGGGSQVQLQQPGAELVKPGASVKMSCKAS
GYTFTRYWITWVKQRPGQGLEWIGDIYPGSGFTKYNEKFKSKATLTVDTSSSTAYMQLSSLTSEDSAVYYCAREGGNYWYFDVWG
TGTTVTVSSAAAAAFVPVFLPAKPTTTPAPRPPTPAPTIASQPLSLRPEACRPAAGGAVHTRGLDFACDIYIWAPLAGTCGVLLL
SLVITLYCNHRNRSKRSRLLHSDYMNMTPRRPGPTRKHYQPYAPPRDFAAYRSRFSVVKRGRKKLLYIFKQPFMRPVQTTQEEDG
CSCRFPEEEEGGCELRVKFSRSADAPAYQQGQNQLYNELNLGRREEYDVLDKRRGRDPEMGGKPRRKNPQEGLYNELQKDKMAEA
YSEIGMKGERRRGKGHDGLYQGLSTATKDTYDALHMQALPPRGSGATNFSLLKQAGDVEENPGPMLLLVTSLLLCELPHPAFLLI
PRKVCNGIGIGEFKDSLSINATNIKHFKNCTSISGDLHILPVAFRGDSFTHTPPLDPQELDILKTVKEITGFLLIQAWPENRTDL
HAFENLEIIRGRTKQHGQFSLAVVSLNITSLGLRSLKEISDGDVIISGNKNLCYANTINWKKLFGTSGQKTKIISNRGENSCKAT
GQVCHALCSPEGCWGPEPRDCVSCRNVSRGRECVDKCNLLEGEPREFVENSECIQCHPECLPQAMNITCTGRGPDNCIQCAHYID
GPHCVKTCPAGVMGENNTLVWKYADAGHVCHLCHPNCTYGCTGPGLEGCPTNGPKIPSIATGMVGALLLLLVVALGIGLFMGSGA
TNFSLLKQAGDVEENPGPMLEGVQVETISPGDGRTFPKRGQTCVVHYTGMLEDGKKVDSSRDRNKPFKFMLGKQEVIRGWEEGVA
QMSVGQRAKLTISPDYAYGATGHPGIIPPHATLVFDVELLKLESGGGSGVDGFGDVGALESLRGNADLAYILSMEPCGHCLIINN
VNFCRESGLRTRTGSNIDCEKLRRRFSSLHFMVEVKGDLTAKKMVLALLELAQQDHGALDCCVVVILSHGCQASHLQFPGAVYGT
DGCPVSVEKIVNIFNGTSCPSLGGKPKLFFIQACGGEQKDHGFEVASTSPEDESPGSNPEPDATPFQEGLRTFDQLDAISSLPTP
SDIFVSYSTFPGFVSWRDPKSGSWYVETLDDIFEQWAHSEDLQSLLLRVANAVSVKGIYKQMPGCFNFLRKKLFFKTSVDYPYDVPDYALD*
[SEQ ID No:31]
preferably, therefore, the construct comprises a sequence encoding a sequence substantially as set forth in SEQ ID No:31 or a fragment or variant thereof.
Preferably, an embodiment of the nucleic acid construct (referred to as "cartvb7.1") has a sequence referred to herein as SEQ ID No:32, as follows:
ATGGCTCTGCCTGTTACAGCTCTGCTGCTGCCTCTGGCTCTGCTTCTGCATGCCGCCAGACCTGACATCCAGATGACACAGAGCC
CTAGCAGCCTGTCTGCCTCTCTCGGCGGAAAAGTGACCCTGACATGCAAGGCCAGCCAGGACATCAACAAGTATATCGCCTGGTA
TCAGCACAAGCCCGGCAAGGGACCTAGACTGCTGATCCACTACACCAGCACACTGCAGCCTGGCATCCCCAGCAGATTTTCTGGC
AGCGGCTCCGGCAGAGACTACAGCTTCAGCATCAGCAACCTGGAACCTGAGGACGTGGCCACCTACTACTGCCTGCAGTACGACA
ACCTGCGGACCTTTGGCGGCGGAACAAAGCTGGAAATCAAGCGGACAGATGGCGGAGGCGGATCAGGCGGCGGAGGAAGCGGTGG
CGGAGGATCTCAAGTTCAGCTGCAACAGCCTGGCGCCGAGCTTGTGAAACCTGGCGCCTCTGTGAAGATGAGCTGCAAGGCCTCC
GGCTACACCTTCACCAGATACTGGATCACCTGGGTCAAGCAGAGGCCTGGACAGGGACTCGAGTGGATCGGCGATATCTATCCTG
GCTCCGGCTTCACCAAGTACAACGAGAAGTTCAAGAGCAAGGCCACACTGACCGTGGACACCAGCAGCAGCACAGCCTACATGCA
GCTGTCTAGCCTGACCAGCGAGGACAGCGCCGTGTACTACTGTGCTAGAGAAGGCGGCAACTACTGGTACTTCGACGTGTGGGGC
ACCGGCACCACAGTGACAGTTAGTTCTGCGGCCGCGGCCGCATTCGTGCCGGTCTTCCTGCCAGCGAAGCCCACCACGACGCCAG
CGCCGCGACCACCAACACCGGCGCCCACCATCGCGTCGCAGCCCCTGTCCCTGCGCCCAGAGGCGTGCCGGCCAGCGGCGGGGGG
CGCAGTGCACACGAGGGGGCTGGACTTCGCCTGTGATATCTACATCTGGGCGCCCTTGGCCGGGACTTGTGGGGTCCTTCTCCTG
TCACTGGTTATCACCCTTTACTGCAACCACAGGAACAGGAGTAAGAGGAGCAGGCTCCTGCACAGTGACTACATGAACATGACTC
CCCGCCGCCCCGGGCCCACCCGCAAGCATTACCAGCCCTATGCCCCACCACGCGACTTCGCAGCCTATCGCTCCCGTTTCTCTGT
TGTTAAACGGGGCAGAAAGAAGCTCCTGTATATATTCAAACAACCATTTATGAGACCAGTACAAACTACTCAAGAGGAAGATGGC
TGTAGCTGCCGATTTCCAGAAGAAGAAGAAGGAGGATGTGAACTGAGAGTGAAGTTCAGCAGGAGCGCAGACGCCCCCGCGTACC
AGCAGGGCCAGAACCAGCTCTATAACGAGCTCAATCTAGGACGAAGAGAGGAGTACGATGTTTTGGACAAGAGACGTGGCCGGGA
CCCTGAGATGGGGGGAAAGCCGAGAAGGAAGAACCCTCAGGAAGGCCTGTACAATGAACTGCAGAAAGATAAGATGGCGGAGGCC
TACAGTGAGATTGGGATGAAAGGCGAGCGCCGGAGGGGCAAGGGGCACGATGGCCTTTACCAGGGTCTCAGTACAGCCACCAAGG
ACACCTACGACGCCCTTCACATGCAGGCCCTGCCCCCTCGCGGATCCGGAGCCACGAACTTCTCTCTGTTAAAGCAAGCAGGAGA
CGTGGAAGAAAACCCCGGTCCTATGCTTCTCCTGGTGACAAGCCTTCTGCTCTGTGAGTTACCACACCCAGCATTCCTCCTGATC
CCACGCAAAGTGTGTAACGGAATAGGTATTGGTGAATTTAAAGACTCACTCTCCATAAATGCTACGAATATTAAACACTTCAAAA
ACTGCACCTCCATCAGTGGCGATCTCCACATCCTGCCGGTGGCATTTAGGGGTGACTCCTTCACACATACTCCTCCTCTGGATCC
ACAGGAACTGGATATTCTGAAAACCGTAAAGGAAATCACAGGGTTTTTGCTGATTCAGGCTTGGCCTGAAAACAGGACGGACCTC
CATGCCTTTGAGAACCTAGAAATCATACGCGGCAGGACCAAGCAACATGGTCAGTTTTCTCTTGCAGTCGTCAGCCTGAACATAA
CATCCTTGGGATTACGCTCCCTCAAGGAGATAAGTGATGGAGATGTGATAATTTCAGGAAACAAAAATTTGTGCTATGCAAATAC
AATAAACTGGAAAAAACTGTTTGGGACCTCCGGTCAGAAAACCAAAATTATAAGCAACAGAGGTGAAAACAGCTGCAAGGCCACA
GGCCAGGTCTGCCATGCCTTGTGCTCCCCCGAGGGCTGCTGGGGCCCGGAACCCAGGGACTGCGTCTCTTGCCGGAATGTCAGCC
GAGGCAGGGAATGCGTGGACAAGTGCAACCTTCTGGAGGGTGAGCCAAGGGAGTTTGTGGAGAACTCTGAGTGCATACAGTGCCA
CCCAGAGTGCCTGCCTCAGGCCATGAACATCACCTGCACAGGACGGGGACCAGACAACTGTATCCAGTGTGCCCACTACATTGAC
GGCCCCCACTGCGTCAAGACCTGCCCGGCAGGAGTCATGGGAGAAAACAACACCCTGGTCTGGAAGTACGCAGACGCCGGCCATG
TGTGCCACCTGTGCCATCCAAACTGCACCTACGGATGCACTGGGCCAGGTCTTGAAGGCTGTCCAACGAATGGGCCTAAGATCCC
GTCCATCGCCACTGGGATGGTGGGGGCCCTCCTCTTGCTGCTGGTGGTGGCCCTGGGGATCGGCCTCTTCATGGGATCTGGAGCC
ACGAACTTCTCTCTGTTAAAGCAAGCAGGAGACGTGGAAGAAAACCCCGGTCCTATGCTCGAGGGAGTGCAGGTGGAAACCATCT
CCCCAGGAGACGGGCGCACCTTCCCCAAGCGCGGCCAGACCTGCGTGGTGCACTACACCGGGATGCTTGAAGATGGAAAGAAAGT
TGATTCCTCCCGGGACAGAAACAAGCCCTTTAAGTTTATGCTAGGCAAGCAGGAGGTGATCCGAGGCTGGGAAGAAGGGGTTGCC
CAGATGAGTGTGGGTCAGAGAGCCAAACTGACTATATCTCCAGATTATGCCTATGGTGCCACTGGGCACCCAGGCATCATCCCAC
CACATGCCACTCTCGTCTTCGATGTGGAGCTTCTAAAACTGGAATCTGGCGGTGGATCCGGAGTCGACGGATTTGGTGATGTCGG
TGCTCTTGAGAGTTTGAGGGGAAATGCAGATTTGGCTTACATCCTGAGCATGGAGCCCTGTGGCCACTGCCTCATTATCAACAAT
GTGAACTTCTGCCGTGAGTCCGGGCTCCGCACCCGCACTGGCTCCAACATCGACTGTGAGAAGTTGCGGCGTCGCTTCTCCTCGC
TGCATTTCATGGTGGAGGTGAAGGGCGACCTGACTGCCAAGAAAATGGTGCTGGCTTTGCTGGAGCTGGCGCAGCAGGACCACGG
TGCTCTGGACTGCTGCGTGGTGGTCATTCTCTCTCACGGCTGTCAGGCCAGCCACCTGCAGTTCCCAGGGGCTGTCTACGGCACA
GATGGATGCCCTGTGTCGGTCGAGAAGATTGTGAACATCTTCAATGGGACCAGCTGCCCCAGCCTGGGAGGGAAGCCCAAGCTCT
TTTTCATCCAGGCCTGTGGTGGGGAGCAGAAAGACCATGGGTTTGAGGTGGCCTCCACTTCCCCTGAAGACGAGTCCCCTGGCAG
TAACCCCGAGCCAGATGCCACCCCGTTCCAGGAAGGTTTGAGGACCTTCGACCAGCTGGACGCCATATCTAGTTTGCCCACACCC
AGTGACATCTTTGTGTCCTACTCTACTTTCCCAGGTTTTGTTTCCTGGAGGGACCCCAAGAGTGGCTCCTGGTACGTTGAGACCC
TGGACGACATCTTTGAGCAGTGGGCTCACTCTGAAGACCTGCAGTCCCTCCTGCTTAGGGTCGCTAATGCTGTTTCGGTGAAAGG
GATTTATAAACAGATGCCTGGTTGCTTTAATTTCCTCCGGAAAAAACTTTTCTTTAAAACATCAGTCGACTATCCGTACGACGTA
CCAGACTACGCACTCGACTAA
[SEQ ID No:32]
thus, preferably, the construct comprises a sequence substantially as set forth in SEQ ID No:32 or a fragment or variant thereof.
Thus, it will be appreciated that the isolated MAIT cell obtained using the method of the second or third aspect may be activated and eventually transduced with a nucleic acid construct encoding a CAR according to the fifth aspect, thereby producing a CAR-MAIT cell of the first or fourth aspect.
In a sixth aspect, provided herein is an expression vector encoding the nucleic acid construct of the fifth aspect.
Preferably, the vector is recombinant. Preferably, the vector is a viral vector, more preferably a retroviral vector. Figures 9 and 10 show maps of features of two preferred embodiments of the vectors of the present invention.
In one embodiment (CART 4: CAR4-tEGFR-iC9; see FIG. 9), the vector has a sequence designated herein as SEQ ID No:33, as follows:
TGAAAGACCCCACCTGTAGGTTTGGCAAGCTAGCTTAAGTAACGCCATTTTGCAAGGCATGGAAAATACATAACTGAGAATAGAG
AAGTTCAGATCAAGGTTAGGAACAGAGAGACAGCAGAATATGGGCCAAACAGGATATCTGTGGTAAGCAGTTCCTGCCCCGGCTC
AGGGCCAAGAACAGATGGTCCCCAGATGCGGTCCCGCCCTCAGCAGTTTCTAGAGAACCATCAGATGTTTCCAGGGTGCCCCAAG
GACCTGAAATGACCCTGTGCCTTATTTGAACTAACCAATCAGTTCGCTTCTCGCTTCTGTTCGCGCGCTTCTGCTCCCCGAGCTC
AATAAAAGAGCCCACAACCCCTCACTCGGCGCGCCAGTCCTCCGATAGACTGCGTCGCCCGGGTACCCGTATTCCCAATAAAGCC
TCTTGCTGTTTGCATCCGAATCGTGGACTCGCTGATCCTTGGGAGGGTCTCCTCAGATTGATTGACTGCCCACCTCGGGGGTCTT
TCATTTGGAGGTTCCACCGAGATTTGGAGACCCCTGCCCAGGGACCACCGACCCCCCCGCCGGGAGGTAAGCTGGCCAGCGGTCG
TTTCGTGTCTGTCTCTGTCTTTGTGCGTGTTTGTGCCGGCATCTAATGTTTGCGCCTGCGTCTGTACTAGTTAGCTAACTAGCTC
TGTATCTGGCGGACCCGTGGTGGAACTGACGAGTTCTGAACACCCGGCCGCAACCCTGGGAGACGTCCCAGGGACTTTGGGGGCC
GTTTTTGTGGCCCGACCTGAGGAAGGGAGTCGATGTGGAATCCGACCCCGTCAGGATATGTGGTTCTGGTAGGAGACGAGAACCT
AAAACAGTTCCCGCCTCCGTCTGAATTTTTGCTTTCGGTTTGGAACCGAAGCCGCGCGTCTTGTCTGCTGCAGCGCTGCAGCATC
GTTCTGTGTTGTCTCTGTCTGACTGTGTTTCTGTATTTGTCTGAAAATTAGGGCCAGACTGTTACCACTCCCTTAAGTTTGACCT
TAGGTCACTGGAAAGATGTCGAGCGGATCGCTCACAACCAGTCGGTAGATGTCAAGAAGAGACGTTGGGTTACCTTCTGCTCTGC
AGAATGGCCAACCTTTAACGTCGGATGGCCGCGAGACGGCACCTTTAACCGAGACCTCATCACCCAGGTTAAGATCAAGGTCTTT
TCACCTGGCCCGCATGGACACCCAGACCAGGTCCCCTACATCGTGACCTGGGAAGCCTTGGCTTTTGACCCCCCTCCCTGGGTCA
AGCCCTTTGTACACCCTAAGCCTCCGCCTCCTCTTCCTCCATCCGCCCCGTCTCTCCCCCTTGAACCTCCTCGTTCGACCCCGCC
TCGATCCTCCCTTTATCCAGCCCTCACTCCTTCTCTAGGCGCCGGAATTAGATCTCTCGAGGTTAACGAATTCTACCGGGTAGGG
GAGGCGCTTTTCCCAAGGCAGTCTGGAGCATGCGCTTTAGCAGCCCCGCTGGGCACTTGGCGCTACACAAGTGGCCTCTGGCCTC
GCACACATTCCACATCCACCGGTAGGCGCCAACCGGCTCCGTTCTTTGGTGGCCCCTTCGCGCCACCTTCTACTCCTCCCCTAGT
CAGGAAGTTCCCCCCCGCCCCGCAGCTCGCGTCGTGCAGGACGTGACAAATGGAAGTAGCACGTCTCACTAGTCTCGTGCAGATG
GACAGCACCGCTGAGCAATGGAAGCGGGTAGGCCTTTGGGGCAGCGGCCAATAGCAGCTTTGCTCCTTCGCTTTCTGGGCTCAGA
GGCTGGGAAGGGGTGGGTCCGGGGGCGGGCTCAGGGGCGGGCTCAGGGGCGGGGCGGGCGCCCGAAGGTCCTCCGGAGGCCCGGC
ATTCTGCACGCTTCAAAAGCGCACGTCTGCCGCGCTGTTCTCCTCTTCCTCATTCTCCGGGCCTTTCGACCTGCAGCCCAAGCCA
CCATGGAGACAGACACACTCCTGCTATGGGTGCTGCTGCTCTGGGTTCCAGGTTCCACAGGTGACGACATTGTGATGACTCAGAG
CCCCGACAGCCTGGCCGTCTCACTGGGCGAAAGGGTGACCATGAATTGTAAATCTTCTCAGAGCCTGCTGTACAGTACAAACCAG
AAAAATTACCTGGCCTGGTATCAGCAGAAACCCGGCCAGAGCCCTAAGCTGCTGATCTATTGGGCAAGTACCCGAGAGTCAGGAG
TGCCAGACAGATTCTCCGGGTCTGGAAGTGGCACAGACTTCACCCTGACAATTAGCTCCGTGCAGGCCGAGGACGTGGCTGTCTA
CTATTGCCAGCAGTACTATAGCTACCGAACTTTCGGCGGGGGAACCAAACTGGAAATCAAGGGAGGAGGAGGCAGTGGCGGAGGA
GGGTCAGGAGGAGGAGGAAGCCAGGTGCAGCTGCAGCAGTCCGGACCAGAGGTGGTCAAACCCGGCGCTAGCGTCAAAATGTCCT
GTAAGGCATCTGGCTACACTTTCACCTCTTATGTGATTCACTGGGTCAGACAGAAGCCTGGGCAGGGACTGGACTGGATCGGGTA
CATTAACCCATATAATGATGGAACTGACTACGATGAAAAGTTTAAAGGCAAGGCCACACTGACTTCCGACACCTCAACAAGCACT
GCTTATATGGAGCTGTCTAGTCTGAGGTCTGAAGACACAGCAGTGTACTATTGCGCCCGCGAGAAGGATAACTACGCCACTGGCG
CTTGGTTTGCATATTGGGGCCAGGGGACCCTGGTGACAGTCTCATCCGCGGCCGCATTCGTGCCGGTCTTCCTGCCAGCGAAGCC
CACCACGACGCCAGCGCCGCGACCACCAACACCGGCGCCCACCATCGCGTCGCAGCCCCTGTCCCTGCGCCCAGAGGCGTGCCGG
CCAGCGGCGGGGGGCGCAGTGCACACGAGGGGGCTGGACTTCGCCTGTGATATCTACATCTGGGCGCCCTTGGCCGGGACTTGTG
GGGTCCTTCTCCTGTCACTGGTTATCACCCTTTACTGCAACCACAGGAACAGGAGTAAGAGGAGCAGGCTCCTGCACAGTGACTA
CATGAACATGACTCCCCGCCGCCCCGGGCCCACCCGCAAGCATTACCAGCCCTATGCCCCACCACGCGACTTCGCAGCCTATCGC
TCCCGTTTCTCTGTTGTTAAACGGGGCAGAAAGAAGCTCCTGTATATATTCAAACAACCATTTATGAGACCAGTACAAACTACTC
AAGAGGAAGATGGCTGTAGCTGCCGATTTCCAGAAGAAGAAGAAGGAGGATGTGAACTGAGAGTGAAGTTCAGCAGGAGCGCAGA
CGCCCCCGCGTACCAGCAGGGCCAGAACCAGCTCTATAACGAGCTCAATCTAGGACGAAGAGAGGAGTACGATGTTTTGGACAAG
AGACGTGGCCGGGACCCTGAGATGGGGGGAAAGCCGAGAAGGAAGAACCCTCAGGAAGGCCTGTACAATGAACTGCAGAAAGATA
AGATGGCGGAGGCCTACAGTGAGATTGGGATGAAAGGCGAGCGCCGGAGGGGCAAGGGGCACGATGGCCTTTACCAGGGTCTCAG
TACAGCCACCAAGGACACCTACGACGCCCTTCACATGCAGGCCCTGCCCCCTCGCGGATCCGGAGCCACGAACTTCTCTCTGTTA
AAGCAAGCAGGAGACGTGGAAGAAAACCCCGGTCCTATGCTTCTCCTGGTGACAAGCCTTCTGCTCTGTGAGTTACCACACCCAG
CATTCCTCCTGATCCCACGCAAAGTGTGTAACGGAATAGGTATTGGTGAATTTAAAGACTCACTCTCCATAAATGCTACGAATAT
TAAACACTTCAAAAACTGCACCTCCATCAGTGGCGATCTCCACATCCTGCCGGTGGCATTTAGGGGTGACTCCTTCACACATACT
CCTCCTCTGGATCCACAGGAACTGGATATTCTGAAAACCGTAAAGGAAATCACAGGGTTTTTGCTGATTCAGGCTTGGCCTGAAA
ACAGGACGGACCTCCATGCCTTTGAGAACCTAGAAATCATACGCGGCAGGACCAAGCAACATGGTCAGTTTTCTCTTGCAGTCGT
CAGCCTGAACATAACATCCTTGGGATTACGCTCCCTCAAGGAGATAAGTGATGGAGATGTGATAATTTCAGGAAACAAAAATTTG
TGCTATGCAAATACAATAAACTGGAAAAAACTGTTTGGGACCTCCGGTCAGAAAACCAAAATTATAAGCAACAGAGGTGAAAACA
GCTGCAAGGCCACAGGCCAGGTCTGCCATGCCTTGTGCTCCCCCGAGGGCTGCTGGGGCCCGGAACCCAGGGACTGCGTCTCTTG
CCGGAATGTCAGCCGAGGCAGGGAATGCGTGGACAAGTGCAACCTTCTGGAGGGTGAGCCAAGGGAGTTTGTGGAGAACTCTGAG
TGCATACAGTGCCACCCAGAGTGCCTGCCTCAGGCCATGAACATCACCTGCACAGGACGGGGACCAGACAACTGTATCCAGTGTG
CCCACTACATTGACGGCCCCCACTGCGTCAAGACCTGCCCGGCAGGAGTCATGGGAGAAAACAACACCCTGGTCTGGAAGTACGC
AGACGCCGGCCATGTGTGCCACCTGTGCCATCCAAACTGCACCTACGGATGCACTGGGCCAGGTCTTGAAGGCTGTCCAACGAAT
GGGCCTAAGATCCCGTCCATCGCCACTGGGATGGTGGGGGCCCTCCTCTTGCTGCTGGTGGTGGCCCTGGGGATCGGCCTCTTCA
TGGGATCTGGAGCCACGAACTTCTCTCTGTTAAAGCAAGCAGGAGACGTGGAAGAAAACCCCGGTCCTATGCTCGAGGGAGTGCA
GGTGGAAACCATCTCCCCAGGAGACGGGCGCACCTTCCCCAAGCGCGGCCAGACCTGCGTGGTGCACTACACCGGGATGCTTGAA
GATGGAAAGAAAGTTGATTCCTCCCGGGACAGAAACAAGCCCTTTAAGTTTATGCTAGGCAAGCAGGAGGTGATCCGAGGCTGGG
AAGAAGGGGTTGCCCAGATGAGTGTGGGTCAGAGAGCCAAACTGACTATATCTCCAGATTATGCCTATGGTGCCACTGGGCACCC
AGGCATCATCCCACCACATGCCACTCTCGTCTTCGATGTGGAGCTTCTAAAACTGGAATCTGGCGGTGGATCCGGAGTCGACGGA
TTTGGTGATGTCGGTGCTCTTGAGAGTTTGAGGGGAAATGCAGATTTGGCTTACATCCTGAGCATGGAGCCCTGTGGCCACTGCC
TCATTATCAACAATGTGAACTTCTGCCGTGAGTCCGGGCTCCGCACCCGCACTGGCTCCAACATCGACTGTGAGAAGTTGCGGCG
TCGCTTCTCCTCGCTGCATTTCATGGTGGAGGTGAAGGGCGACCTGACTGCCAAGAAAATGGTGCTGGCTTTGCTGGAGCTGGCG
CAGCAGGACCACGGTGCTCTGGACTGCTGCGTGGTGGTCATTCTCTCTCACGGCTGTCAGGCCAGCCACCTGCAGTTCCCAGGGG
CTGTCTACGGCACAGATGGATGCCCTGTGTCGGTCGAGAAGATTGTGAACATCTTCAATGGGACCAGCTGCCCCAGCCTGGGAGG
GAAGCCCAAGCTCTTTTTCATCCAGGCCTGTGGTGGGGAGCAGAAAGACCATGGGTTTGAGGTGGCCTCCACTTCCCCTGAAGAC
GAGTCCCCTGGCAGTAACCCCGAGCCAGATGCCACCCCGTTCCAGGAAGGTTTGAGGACCTTCGACCAGCTGGACGCCATATCTA
GTTTGCCCACACCCAGTGACATCTTTGTGTCCTACTCTACTTTCCCAGGTTTTGTTTCCTGGAGGGACCCCAAGAGTGGCTCCTG
GTACGTTGAGACCCTGGACGACATCTTTGAGCAGTGGGCTCACTCTGAAGACCTGCAGTCCCTCCTGCTTAGGGTCGCTAATGCT
GTTTCGGTGAAAGGGATTTATAAACAGATGCCTGGTTGCTTTAATTTCCTCCGGAAAAAACTTTTCTTTAAAACATCAGTCGACT
ATCCGTACGACGTACCAGACTACGCACTCGACTAAACAATCAACCTCTGGATTACAAAATTTGTGAAAGATTGACTGGTATTCTT
AACTATGTTGCTCCTTTTACGCTATGTGGATACGCTGCTTTAATGCCTTTGTATCATGCTATTGCTTCCCGTATGGCTTTCATTT
TCTCCTCCTTGTATAAATCCTGGTTGCTGTCTCTTTATGAGGAGTTGTGGCCCGTTGTCAGGCAACGTGGCGTGGTGTGCACTGT
GTTTGCTGACGCAACCCCCACTGGTTGGGGCATTGCCACCACCTGTCAGCTCCTTTCCGGGACTTTCGCTTTCCCCCTCCCTATT
GCCACGGCGGAACTCATCGCCGCCTGCCTTGCCCGCTGCTGGACAGGGGCTCGGCTGTTGGGCACTGACAATTCCGTGGTGTTGT
CGGGGAAATCATCGTCCTTTCCTTGGCTGCTCGCCTGTGTTGCCACCTGGATTCTGCGCGGGACGTCCTTCTGCTACGTCCCTTC
GGCCCTCAATCCAGCGGACCTTCCTTCCCGCGGCCTGCTGCCGGCTCTGCGGCCTCTTCCGCGTCTTCGCCTTCGCCCTCAGACG
AGTCGGATCTCCCTTTGGGCCGCCTCCCCGCCTATCGATAAAATAAAAGATTTTATTTAGTCTCCAGAAAAAGGGGGGAATGAAA
GACCCCACCTGTAGGTTTGGCAAGCTAGCTTAAGTAACGCCATTTTGCAAGGCATGGAAAATACATAACTGAGAATAGAGAAGTT
CAGATCAAGGTTAGGAACAGAGAGACAGCAGAATATGGGCCAAACAGGATATCTGTGGTAAGCAGTTCCTGCCCCGGCTCAGGGC
CAAGAACAGATGGTCCCCAGATGCGGTCCCGCCCTCAGCAGTTTCTAGAGAACCATCAGATGTTTCCAGGGTGCCCCAAGGACCT
GAAATGACCCTGTGCCTTATTTGAACTAACCAATCAGTTCGCTTCTCGCTTCTGTTCGCGCGCTTCTGCTCCCCGAGCTCAATAA
AAGAGCCCACAACCCCTCACTCGGCGCGCCAGTCCTCCGATAGACTGCGTCGCCCGGGTACCCGTGTATCCAATAAACCCTCTTG
CAGTTGCATCCGACTTGTGGTCTCGCTGTTCCTTGGGAGGGTCTCCTCTGAGTGATTGACTACCCGTCAGCGGGGGTCTTTCATG
GGTAACAGTTTCTTGAAGTTGGAGAACAACATTCTGAGGGTAGGAGTCGAATATTAAGTAATCCTGACTCAATTAGCCACTGTTT
TGAATCCACATACTCCAATACTCCTGAAATAGTTCATTATGGACAGCGCAGAAGAGCTGGGGAGAATTAATTCGTAATCATGGTC
ATAGCTGTTTCCTGTGTGAAATTGTTATCCGCTCACAATTCCACACAACATACGAGCCGGAAGCATAAAGTGTAAAGCCTGGGGT
GCCTAATGAGTGAGCTAACTCACATTAATTGCGTTGCGCTCACTGCCCGCTTTCCAGTCGGGAAACCTGTCGTGCCAGCTGCATT
AATGAATCGGCCAACGCGCGGGGAGAGGCGGTTTGCGTATTGGGCGCTCTTCCGCTTCCTCGCTCACTGACTCGCTGCGCTCGGT
CGTTCGGCTGCGGCGAGCGGTATCAGCTCACTCAAAGGCGGTAATACGGTTATCCACAGAATCAGGGGATAACGCAGGAAAGAAC
ATGTGAGCAAAAGGCCAGCAAAAGGCCAGGAACCGTAAAAAGGCCGCGTTGCTGGCGTTTTTCCATAGGCTCCGCCCCCCTGACG
AGCATCACAAAAATCGACGCTCAAGTCAGAGGTGGCGAAACCCGACAGGACTATAAAGATACCAGGCGTTTCCCCCTGGAAGCTC
CCTCGTGCGCTCTCCTGTTCCGACCCTGCCGCTTACCGGATACCTGTCCGCCTTTCTCCCTTCGGGAAGCGTGGCGCTTTCTCAT
AGCTCACGCTGTAGGTATCTCAGTTCGGTGTAGGTCGTTCGCTCCAAGCTGGGCTGTGTGCACGAACCCCCCGTTCAGCCCGACC
GCTGCGCCTTATCCGGTAACTATCGTCTTGAGTCCAACCCGGTAAGACACGACTTATCGCCACTGGCAGCAGCCACTGGTAACAG
GATTAGCAGAGCGAGGTATGTAGGCGGTGCTACAGAGTTCTTGAAGTGGTGGCCTAACTACGGCTACACTAGAAGGACAGTATTT
GGTATCTGCGCTCTGCTGAAGCCAGTTACCTTCGGAAAAAGAGTTGGTAGCTCTTGATCCGGCAAACAAACCACCGCTGGTAGCG
GTGGTTTTTTTGTTTGCAAGCAGCAGATTACGCGCAGAAAAAAAGGATCTCAAGAAGATCCTTTGATCTTTTCTACGGGGTCTGA
CGCTCAGTGGAACGAAAACTCACGTTAAGGGATTTTGGTCATGAGATTATCAAAAAGGATCTTCACCTAGATCCTTTTAAATTAA
AAATGAAGTTTTAAATCAATCTAAAGTATATATGAGTAAACTTGGTCTGACAGTTACCAATGCTTAATCAGTGAGGCACCTATCT
CAGCGATCTGTCTATTTCGTTCATCCATAGTTGCCTGACTCCCCGTCGTGTAGATAACTACGATACGGGAGGGCTTACCATCTGG
CCCCAGTGCTGCAATGATACCGCGAGACCCACGCTCACCGGCTCCAGATTTATCAGCAATAAACCAGCCAGCCGGAAGGGCCGAG
CGCAGAAGTGGTCCTGCAACTTTATCCGCCTCCATCCAGTCTATTAATTGTTGCCGGGAAGCTAGAGTAAGTAGTTCGCCAGTTA
ATAGTTTGCGCAACGTTGTTGCCATTGCTACAGGCATCGTGGTGTCACGCTCGTCGTTTGGTATGGCTTCATTCAGCTCCGGTTC
CCAACGATCAAGGCGAGTTACATGATCCCCCATGTTGTGCAAAAAAGCGGTTAGCTCCTTCGGTCCTCCGATCGTTGTCAGAAGT
AAGTTGGCCGCAGTGTTATCACTCATGGTTATGGCAGCACTGCATAATTCTCTTACTGTCATGCCATCCGTAAGATGCTTTTCTG
TGACTGGTGAGTACTCAACCAAGTCATTCTGAGAATAGTGTATGCGGCGACCGAGTTGCTCTTGCCCGGCGTCAATACGGGATAA
TACCGCGCCACATAGCAGAACTTTAAAAGTGCTCATCATTGGAAAACGTTCTTCGGGGCGAAAACTCTCAAGGATCTTACCGCTG
TTGAGATCCAGTTCGATGTAACCCACTCGTGCACCCAACTGATCTTCAGCATCTTTTACTTTCACCAGCGTTTCTGGGTGAGCAA
AAACAGGAAGGCAAAATGCCGCAAAAAAGGGAATAAGGGCGACACGGAAATGTTGAATACTCATACTCTTCCTTTTTCAATATTA
TTGAAGCATTTATCAGGGTTATTGTCTCATGAGCGGATACATATTTGAATGTATTTAGAAAAATAAACAAATAGGGGTTCCGCGC
ACATTTCCCCGAAAAGTGCCACCTGACGTCTAAGAAACCATTATTATCATGACATTAACCTATAAAAATAGGCGTATCACGAGGC
CCTTTCGTCTCGCGCGTTTCGGTGATGACGGTGAAAACCTCTGACACATGCAGCTCCCGGAGACGGTCACAGCTTGTCTGTAAGC
GGATGCCGGGAGCAGACAAGCCCGTCAGGGCGCGTCAGCGGGTGTTGGCGGGTGTCGGGGCTGGCTTAACTATGCGGCATCAGAG
CAGATTGTACTGAGAGTGCACCATATGCGGTGTGAAATACCGCACAGATGCGTAAGGAGAAAATACCGCATCAGGCGCCATTCGC
CATTCAGGCTGCGCAACTGTTGGGAAGGGCGATCGGTGCGGGCCTCTTCGCTATTACGCCAGCTGGCGAAAGGGGGATGTGCTGC
AAGGCGATTAAGTTGGGTAACGCCAGGGTTTTCCCAGTCACGACGTTGTAAAACGACGGCGCAAGGAATGGTGCATGCAAGGAGA
TGGCGCCCAACAGTCCCCCGGCCACGGGGCCTGCCACCATACCCACGCCGAAACAAGCGCTCATGAGCCCGAAGTGGCGAGCCCG
ATCTTCCCCATCGGTGATGTCGGCGATATAGGCGCCAGCAACCGCACCTGTGGCGCCGGTGATGCCGGCCACGATGCGTCCGGCG
TAGAGGCGATTAGTCCAATTTGTTAAAGACAGGATATCAGTGGTCCAGGCTCTAGTTTTGACTCAACAATATCACCAGCTGAAGC
CTATAGAGTACGAGCCATAGATAAAATAAAAGATTTTATTTAGTCTCCAGAAAAAGGGGGGAA
[SEQ ID NO:33]
preferably, the vector comprises a sequence substantially as set forth in SEQ ID NO:33 or a fragment or variant thereof.
In one embodiment (CARTVb7.1: CARTVb7.1-tEGFR-iC9; see FIG. 10), the vector has a sequence referred to herein as SEQ ID No:36, as follows:
TGAAAGACCCCACCTGTAGGTTTGGCAAGCTAGCTTAAGTAACGCCATTTTGCAAGGCATGGAAAATACATAACTGAGAATAGAG
AAGTTCAGATCAAGGTTAGGAACAGAGAGACAGCAGAATATGGGCCAAACAGGATATCTGTGGTAAGCAGTTCCTGCCCCGGCTC
AGGGCCAAGAACAGATGGTCCCCAGATGCGGTCCCGCCCTCAGCAGTTTCTAGAGAACCATCAGATGTTTCCAGGGTGCCCCAAG
GACCTGAAATGACCCTGTGCCTTATTTGAACTAACCAATCAGTTCGCTTCTCGCTTCTGTTCGCGCGCTTCTGCTCCCCGAGCTC
AATAAAAGAGCCCACAACCCCTCACTCGGCGCGCCAGTCCTCCGATAGACTGCGTCGCCCGGGTACCCGTATTCCCAATAAAGCC
TCTTGCTGTTTGCATCCGAATCGTGGACTCGCTGATCCTTGGGAGGGTCTCCTCAGATTGATTGACTGCCCACCTCGGGGGTCTT
TCATTTGGAGGTTCCACCGAGATTTGGAGACCCCTGCCCAGGGACCACCGACCCCCCCGCCGGGAGGTAAGCTGGCCAGCGGTCG
TTTCGTGTCTGTCTCTGTCTTTGTGCGTGTTTGTGCCGGCATCTAATGTTTGCGCCTGCGTCTGTACTAGTTAGCTAACTAGCTC
TGTATCTGGCGGACCCGTGGTGGAACTGACGAGTTCTGAACACCCGGCCGCAACCCTGGGAGACGTCCCAGGGACTTTGGGGGCC
GTTTTTGTGGCCCGACCTGAGGAAGGGAGTCGATGTGGAATCCGACCCCGTCAGGATATGTGGTTCTGGTAGGAGACGAGAACCT
AAAACAGTTCCCGCCTCCGTCTGAATTTTTGCTTTCGGTTTGGAACCGAAGCCGCGCGTCTTGTCTGCTGCAGCGCTGCAGCATC
GTTCTGTGTTGTCTCTGTCTGACTGTGTTTCTGTATTTGTCTGAAAATTAGGGCCAGACTGTTACCACTCCCTTAAGTTTGACCT
TAGGTCACTGGAAAGATGTCGAGCGGATCGCTCACAACCAGTCGGTAGATGTCAAGAAGAGACGTTGGGTTACCTTCTGCTCTGC
AGAATGGCCAACCTTTAACGTCGGATGGCCGCGAGACGGCACCTTTAACCGAGACCTCATCACCCAGGTTAAGATCAAGGTCTTT
TCACCTGGCCCGCATGGACACCCAGACCAGGTCCCCTACATCGTGACCTGGGAAGCCTTGGCTTTTGACCCCCCTCCCTGGGTCA
AGCCCTTTGTACACCCTAAGCCTCCGCCTCCTCTTCCTCCATCCGCCCCGTCTCTCCCCCTTGAACCTCCTCGTTCGACCCCGCC
TCGATCCTCCCTTTATCCAGCCCTCACTCCTTCTCTAGGCGCCGGAATTAGATCTCTCGAGGTTAACGAATTCTACCGGGTAGGG
GAGGCGCTTTTCCCAAGGCAGTCTGGAGCATGCGCTTTAGCAGCCCCGCTGGGCACTTGGCGCTACACAAGTGGCCTCTGGCCTC
GCACACATTCCACATCCACCGGTAGGCGCCAACCGGCTCCGTTCTTTGGTGGCCCCTTCGCGCCACCTTCTACTCCTCCCCTAGT
CAGGAAGTTCCCCCCCGCCCCGCAGCTCGCGTCGTGCAGGACGTGACAAATGGAAGTAGCACGTCTCACTAGTCTCGTGCAGATG
GACAGCACCGCTGAGCAATGGAAGCGGGTAGGCCTTTGGGGCAGCGGCCAATAGCAGCTTTGCTCCTTCGCTTTCTGGGCTCAGA
GGCTGGGAAGGGGTGGGTCCGGGGGCGGGCTCAGGGGCGGGCTCAGGGGCGGGGCGGGCGCCCGAAGGTCCTCCGGAGGCCCGGC
ATTCTGCACGCTTCAAAAGCGCACGTCTGCCGCGCTGTTCTCCTCTTCCTCATTCTCCGGGCCTTTCGACCTGCAGCCCAAGCCA
CCATGGCTCTGCCTGTTACAGCTCTGCTGCTGCCTCTGGCTCTGCTTCTGCATGCCGCCAGACCTGACATCCAGATGACACAGAG
CCCTAGCAGCCTGTCTGCCTCTCTCGGCGGAAAAGTGACCCTGACATGCAAGGCCAGCCAGGACATCAACAAGTATATCGCCTGG
TATCAGCACAAGCCCGGCAAGGGACCTAGACTGCTGATCCACTACACCAGCACACTGCAGCCTGGCATCCCCAGCAGATTTTCTG
GCAGCGGCTCCGGCAGAGACTACAGCTTCAGCATCAGCAACCTGGAACCTGAGGACGTGGCCACCTACTACTGCCTGCAGTACGA
CAACCTGCGGACCTTTGGCGGCGGAACAAAGCTGGAAATCAAGCGGACAGATGGCGGAGGCGGATCAGGCGGCGGAGGAAGCGGT
GGCGGAGGATCTCAAGTTCAGCTGCAACAGCCTGGCGCCGAGCTTGTGAAACCTGGCGCCTCTGTGAAGATGAGCTGCAAGGCCT
CCGGCTACACCTTCACCAGATACTGGATCACCTGGGTCAAGCAGAGGCCTGGACAGGGACTCGAGTGGATCGGCGATATCTATCC
TGGCTCCGGCTTCACCAAGTACAACGAGAAGTTCAAGAGCAAGGCCACACTGACCGTGGACACCAGCAGCAGCACAGCCTACATG
CAGCTGTCTAGCCTGACCAGCGAGGACAGCGCCGTGTACTACTGTGCTAGAGAAGGCGGCAACTACTGGTACTTCGACGTGTGGG
GCACCGGCACCACAGTGACAGTTAGTTCTGCGGCCGCGGCCGCATTCGTGCCGGTCTTCCTGCCAGCGAAGCCCACCACGACGCC
AGCGCCGCGACCACCAACACCGGCGCCCACCATCGCGTCGCAGCCCCTGTCCCTGCGCCCAGAGGCGTGCCGGCCAGCGGCGGGG
GGCGCAGTGCACACGAGGGGGCTGGACTTCGCCTGTGATATCTACATCTGGGCGCCCTTGGCCGGGACTTGTGGGGTCCTTCTCC
TGTCACTGGTTATCACCCTTTACTGCAACCACAGGAACAGGAGTAAGAGGAGCAGGCTCCTGCACAGTGACTACATGAACATGAC
TCCCCGCCGCCCCGGGCCCACCCGCAAGCATTACCAGCCCTATGCCCCACCACGCGACTTCGCAGCCTATCGCTCCCGTTTCTCT
GTTGTTAAACGGGGCAGAAAGAAGCTCCTGTATATATTCAAACAACCATTTATGAGACCAGTACAAACTACTCAAGAGGAAGATG
GCTGTAGCTGCCGATTTCCAGAAGAAGAAGAAGGAGGATGTGAACTGAGAGTGAAGTTCAGCAGGAGCGCAGACGCCCCCGCGTA
CCAGCAGGGCCAGAACCAGCTCTATAACGAGCTCAATCTAGGACGAAGAGAGGAGTACGATGTTTTGGACAAGAGACGTGGCCGG
GACCCTGAGATGGGGGGAAAGCCGAGAAGGAAGAACCCTCAGGAAGGCCTGTACAATGAACTGCAGAAAGATAAGATGGCGGAGG
CCTACAGTGAGATTGGGATGAAAGGCGAGCGCCGGAGGGGCAAGGGGCACGATGGCCTTTACCAGGGTCTCAGTACAGCCACCAA
GGACACCTACGACGCCCTTCACATGCAGGCCCTGCCCCCTCGCGGATCCGGAGCCACGAACTTCTCTCTGTTAAAGCAAGCAGGA
GACGTGGAAGAAAACCCCGGTCCTATGCTTCTCCTGGTGACAAGCCTTCTGCTCTGTGAGTTACCACACCCAGCATTCCTCCTGA
TCCCACGCAAAGTGTGTAACGGAATAGGTATTGGTGAATTTAAAGACTCACTCTCCATAAATGCTACGAATATTAAACACTTCAA
AAACTGCACCTCCATCAGTGGCGATCTCCACATCCTGCCGGTGGCATTTAGGGGTGACTCCTTCACACATACTCCTCCTCTGGAT
CCACAGGAACTGGATATTCTGAAAACCGTAAAGGAAATCACAGGGTTTTTGCTGATTCAGGCTTGGCCTGAAAACAGGACGGACC
TCCATGCCTTTGAGAACCTAGAAATCATACGCGGCAGGACCAAGCAACATGGTCAGTTTTCTCTTGCAGTCGTCAGCCTGAACAT
AACATCCTTGGGATTACGCTCCCTCAAGGAGATAAGTGATGGAGATGTGATAATTTCAGGAAACAAAAATTTGTGCTATGCAAAT
ACAATAAACTGGAAAAAACTGTTTGGGACCTCCGGTCAGAAAACCAAAATTATAAGCAACAGAGGTGAAAACAGCTGCAAGGCCA
CAGGCCAGGTCTGCCATGCCTTGTGCTCCCCCGAGGGCTGCTGGGGCCCGGAACCCAGGGACTGCGTCTCTTGCCGGAATGTCAG
CCGAGGCAGGGAATGCGTGGACAAGTGCAACCTTCTGGAGGGTGAGCCAAGGGAGTTTGTGGAGAACTCTGAGTGCATACAGTGC
CACCCAGAGTGCCTGCCTCAGGCCATGAACATCACCTGCACAGGACGGGGACCAGACAACTGTATCCAGTGTGCCCACTACATTG
ACGGCCCCCACTGCGTCAAGACCTGCCCGGCAGGAGTCATGGGAGAAAACAACACCCTGGTCTGGAAGTACGCAGACGCCGGCCA
TGTGTGCCACCTGTGCCATCCAAACTGCACCTACGGATGCACTGGGCCAGGTCTTGAAGGCTGTCCAACGAATGGGCCTAAGATC
CCGTCCATCGCCACTGGGATGGTGGGGGCCCTCCTCTTGCTGCTGGTGGTGGCCCTGGGGATCGGCCTCTTCATGGGATCTGGAG
CCACGAACTTCTCTCTGTTAAAGCAAGCAGGAGACGTGGAAGAAAACCCCGGTCCTATGCTCGAGGGAGTGCAGGTGGAAACCAT
CTCCCCAGGAGACGGGCGCACCTTCCCCAAGCGCGGCCAGACCTGCGTGGTGCACTACACCGGGATGCTTGAAGATGGAAAGAAA
GTTGATTCCTCCCGGGACAGAAACAAGCCCTTTAAGTTTATGCTAGGCAAGCAGGAGGTGATCCGAGGCTGGGAAGAAGGGGTTG
CCCAGATGAGTGTGGGTCAGAGAGCCAAACTGACTATATCTCCAGATTATGCCTATGGTGCCACTGGGCACCCAGGCATCATCCC
ACCACATGCCACTCTCGTCTTCGATGTGGAGCTTCTAAAACTGGAATCTGGCGGTGGATCCGGAGTCGACGGATTTGGTGATGTC
GGTGCTCTTGAGAGTTTGAGGGGAAATGCAGATTTGGCTTACATCCTGAGCATGGAGCCCTGTGGCCACTGCCTCATTATCAACA
ATGTGAACTTCTGCCGTGAGTCCGGGCTCCGCACCCGCACTGGCTCCAACATCGACTGTGAGAAGTTGCGGCGTCGCTTCTCCTC
GCTGCATTTCATGGTGGAGGTGAAGGGCGACCTGACTGCCAAGAAAATGGTGCTGGCTTTGCTGGAGCTGGCGCAGCAGGACCAC
GGTGCTCTGGACTGCTGCGTGGTGGTCATTCTCTCTCACGGCTGTCAGGCCAGCCACCTGCAGTTCCCAGGGGCTGTCTACGGCA
CAGATGGATGCCCTGTGTCGGTCGAGAAGATTGTGAACATCTTCAATGGGACCAGCTGCCCCAGCCTGGGAGGGAAGCCCAAGCT
CTTTTTCATCCAGGCCTGTGGTGGGGAGCAGAAAGACCATGGGTTTGAGGTGGCCTCCACTTCCCCTGAAGACGAGTCCCCTGGC
AGTAACCCCGAGCCAGATGCCACCCCGTTCCAGGAAGGTTTGAGGACCTTCGACCAGCTGGACGCCATATCTAGTTTGCCCACAC
CCAGTGACATCTTTGTGTCCTACTCTACTTTCCCAGGTTTTGTTTCCTGGAGGGACCCCAAGAGTGGCTCCTGGTACGTTGAGAC
CCTGGACGACATCTTTGAGCAGTGGGCTCACTCTGAAGACCTGCAGTCCCTCCTGCTTAGGGTCGCTAATGCTGTTTCGGTGAAA
GGGATTTATAAACAGATGCCTGGTTGCTTTAATTTCCTCCGGAAAAAACTTTTCTTTAAAACATCAGTCGACTATCCGTACGACG
TACCAGACTACGCACTCGACTAAACAATCAACCTCTGGATTACAAAATTTGTGAAAGATTGACTGGTATTCTTAACTATGTTGCT
CCTTTTACGCTATGTGGATACGCTGCTTTAATGCCTTTGTATCATGCTATTGCTTCCCGTATGGCTTTCATTTTCTCCTCCTTGT
ATAAATCCTGGTTGCTGTCTCTTTATGAGGAGTTGTGGCCCGTTGTCAGGCAACGTGGCGTGGTGTGCACTGTGTTTGCTGACGC
AACCCCCACTGGTTGGGGCATTGCCACCACCTGTCAGCTCCTTTCCGGGACTTTCGCTTTCCCCCTCCCTATTGCCACGGCGGAA
CTCATCGCCGCCTGCCTTGCCCGCTGCTGGACAGGGGCTCGGCTGTTGGGCACTGACAATTCCGTGGTGTTGTCGGGGAAATCAT
CGTCCTTTCCTTGGCTGCTCGCCTGTGTTGCCACCTGGATTCTGCGCGGGACGTCCTTCTGCTACGTCCCTTCGGCCCTCAATCC
AGCGGACCTTCCTTCCCGCGGCCTGCTGCCGGCTCTGCGGCCTCTTCCGCGTCTTCGCCTTCGCCCTCAGACGAGTCGGATCTCC
CTTTGGGCCGCCTCCCCGCCTATCGATAAAATAAAAGATTTTATTTAGTCTCCAGAAAAAGGGGGGAATGAAAGACCCCACCTGT
AGGTTTGGCAAGCTAGCTTAAGTAACGCCATTTTGCAAGGCATGGAAAATACATAACTGAGAATAGAGAAGTTCAGATCAAGGTT
AGGAACAGAGAGACAGCAGAATATGGGCCAAACAGGATATCTGTGGTAAGCAGTTCCTGCCCCGGCTCAGGGCCAAGAACAGATG
GTCCCCAGATGCGGTCCCGCCCTCAGCAGTTTCTAGAGAACCATCAGATGTTTCCAGGGTGCCCCAAGGACCTGAAATGACCCTG
TGCCTTATTTGAACTAACCAATCAGTTCGCTTCTCGCTTCTGTTCGCGCGCTTCTGCTCCCCGAGCTCAATAAAAGAGCCCACAA
CCCCTCACTCGGCGCGCCAGTCCTCCGATAGACTGCGTCGCCCGGGTACCCGTGTATCCAATAAACCCTCTTGCAGTTGCATCCG
ACTTGTGGTCTCGCTGTTCCTTGGGAGGGTCTCCTCTGAGTGATTGACTACCCGTCAGCGGGGGTCTTTCATGGGTAACAGTTTC
TTGAAGTTGGAGAACAACATTCTGAGGGTAGGAGTCGAATATTAAGTAATCCTGACTCAATTAGCCACTGTTTTGAATCCACATA
CTCCAATACTCCTGAAATAGTTCATTATGGACAGCGCAGAAGAGCTGGGGAGAATTAATTCGTAATCATGGTCATAGCTGTTTCC
TGTGTGAAATTGTTATCCGCTCACAATTCCACACAACATACGAGCCGGAAGCATAAAGTGTAAAGCCTGGGGTGCCTAATGAGTG
AGCTAACTCACATTAATTGCGTTGCGCTCACTGCCCGCTTTCCAGTCGGGAAACCTGTCGTGCCAGCTGCATTAATGAATCGGCC
AACGCGCGGGGAGAGGCGGTTTGCGTATTGGGCGCTCTTCCGCTTCCTCGCTCACTGACTCGCTGCGCTCGGTCGTTCGGCTGCG
GCGAGCGGTATCAGCTCACTCAAAGGCGGTAATACGGTTATCCACAGAATCAGGGGATAACGCAGGAAAGAACATGTGAGCAAAA
GGCCAGCAAAAGGCCAGGAACCGTAAAAAGGCCGCGTTGCTGGCGTTTTTCCATAGGCTCCGCCCCCCTGACGAGCATCACAAAA
ATCGACGCTCAAGTCAGAGGTGGCGAAACCCGACAGGACTATAAAGATACCAGGCGTTTCCCCCTGGAAGCTCCCTCGTGCGCTC
TCCTGTTCCGACCCTGCCGCTTACCGGATACCTGTCCGCCTTTCTCCCTTCGGGAAGCGTGGCGCTTTCTCATAGCTCACGCTGT
AGGTATCTCAGTTCGGTGTAGGTCGTTCGCTCCAAGCTGGGCTGTGTGCACGAACCCCCCGTTCAGCCCGACCGCTGCGCCTTAT
CCGGTAACTATCGTCTTGAGTCCAACCCGGTAAGACACGACTTATCGCCACTGGCAGCAGCCACTGGTAACAGGATTAGCAGAGC
GAGGTATGTAGGCGGTGCTACAGAGTTCTTGAAGTGGTGGCCTAACTACGGCTACACTAGAAGGACAGTATTTGGTATCTGCGCT
CTGCTGAAGCCAGTTACCTTCGGAAAAAGAGTTGGTAGCTCTTGATCCGGCAAACAAACCACCGCTGGTAGCGGTGGTTTTTTTG
TTTGCAAGCAGCAGATTACGCGCAGAAAAAAAGGATCTCAAGAAGATCCTTTGATCTTTTCTACGGGGTCTGACGCTCAGTGGAA
CGAAAACTCACGTTAAGGGATTTTGGTCATGAGATTATCAAAAAGGATCTTCACCTAGATCCTTTTAAATTAAAAATGAAGTTTT
AAATCAATCTAAAGTATATATGAGTAAACTTGGTCTGACAGTTACCAATGCTTAATCAGTGAGGCACCTATCTCAGCGATCTGTC
TATTTCGTTCATCCATAGTTGCCTGACTCCCCGTCGTGTAGATAACTACGATACGGGAGGGCTTACCATCTGGCCCCAGTGCTGC
AATGATACCGCGAGACCCACGCTCACCGGCTCCAGATTTATCAGCAATAAACCAGCCAGCCGGAAGGGCCGAGCGCAGAAGTGGT
CCTGCAACTTTATCCGCCTCCATCCAGTCTATTAATTGTTGCCGGGAAGCTAGAGTAAGTAGTTCGCCAGTTAATAGTTTGCGCA
ACGTTGTTGCCATTGCTACAGGCATCGTGGTGTCACGCTCGTCGTTTGGTATGGCTTCATTCAGCTCCGGTTCCCAACGATCAAG
GCGAGTTACATGATCCCCCATGTTGTGCAAAAAAGCGGTTAGCTCCTTCGGTCCTCCGATCGTTGTCAGAAGTAAGTTGGCCGCA
GTGTTATCACTCATGGTTATGGCAGCACTGCATAATTCTCTTACTGTCATGCCATCCGTAAGATGCTTTTCTGTGACTGGTGAGT
ACTCAACCAAGTCATTCTGAGAATAGTGTATGCGGCGACCGAGTTGCTCTTGCCCGGCGTCAATACGGGATAATACCGCGCCACA
TAGCAGAACTTTAAAAGTGCTCATCATTGGAAAACGTTCTTCGGGGCGAAAACTCTCAAGGATCTTACCGCTGTTGAGATCCAGT
TCGATGTAACCCACTCGTGCACCCAACTGATCTTCAGCATCTTTTACTTTCACCAGCGTTTCTGGGTGAGCAAAAACAGGAAGGC
AAAATGCCGCAAAAAAGGGAATAAGGGCGACACGGAAATGTTGAATACTCATACTCTTCCTTTTTCAATATTATTGAAGCATTTA
TCAGGGTTATTGTCTCATGAGCGGATACATATTTGAATGTATTTAGAAAAATAAACAAATAGGGGTTCCGCGCACATTTCCCCGA
AAAGTGCCACCTGACGTCTAAGAAACCATTATTATCATGACATTAACCTATAAAAATAGGCGTATCACGAGGCCCTTTCGTCTCG
CGCGTTTCGGTGATGACGGTGAAAACCTCTGACACATGCAGCTCCCGGAGACGGTCACAGCTTGTCTGTAAGCGGATGCCGGGAG
CAGACAAGCCCGTCAGGGCGCGTCAGCGGGTGTTGGCGGGTGTCGGGGCTGGCTTAACTATGCGGCATCAGAGCAGATTGTACTG
AGAGTGCACCATATGCGGTGTGAAATACCGCACAGATGCGTAAGGAGAAAATACCGCATCAGGCGCCATTCGCCATTCAGGCTGC
GCAACTGTTGGGAAGGGCGATCGGTGCGGGCCTCTTCGCTATTACGCCAGCTGGCGAAAGGGGGATGTGCTGCAAGGCGATTAAG
TTGGGTAACGCCAGGGTTTTCCCAGTCACGACGTTGTAAAACGACGGCGCAAGGAATGGTGCATGCAAGGAGATGGCGCCCAACA
GTCCCCCGGCCACGGGGCCTGCCACCATACCCACGCCGAAACAAGCGCTCATGAGCCCGAAGTGGCGAGCCCGATCTTCCCCATC
GGTGATGTCGGCGATATAGGCGCCAGCAACCGCACCTGTGGCGCCGGTGATGCCGGCCACGATGCGTCCGGCGTAGAGGCGATTA
GTCCAATTTGTTAAAGACAGGATATCAGTGGTCCAGGCTCTAGTTTTGACTCAACAATATCACCAGCTGAAGCCTATAGAGTACG
AGCCATAGATAAAATAAAAGATTTTATTTAGTCTCCAGAAAAAGGGGGGAA
[SEQ ID NO:36]
preferably, the vector comprises a sequence substantially as set forth in SEQ ID NO:36 or a fragment or variant thereof.
Thus, it will be appreciated that the isolated MAIT cell obtained using the method of the second or third aspect may be activated and eventually transduced with a CAR-encoding expression vector according to the sixth aspect to produce a CAR-MAIT cell of the first or fourth aspect.
In an eleventh aspect, provided herein is a T cell comprising a construct according to the fifth construct or a vector according to the sixth aspect, optionally wherein the T cell expresses an anti-CD 4 Chimeric Antigen Receptor (CAR) or an anti-Vbeta CAR.
Preferably, the T cells are mucosa-associated constant T (MAIT) cells.
In a seventh aspect, provided herein is a pharmaceutical composition comprising T cells according to the eleventh aspect, preferably MAIT cells according to the first or fourth aspect, and a pharmaceutically acceptable excipient.
Preferably, the pharmaceutical composition comprises a plurality of T cells or MAIT cells of the present invention. For example, the composition may comprise at least 100, 1000, or 10000T cells or MAIT cells. Preferably, the composition comprises at least 100000, at least 1000000 or at least 10000000T cells or MAIT cells.
In an eighth aspect, provided herein is a T cell according to the eleventh aspect, a MAIT cell according to the first or fourth aspect or a pharmaceutical composition of the seventh aspect for use in therapy.
In a ninth aspect, provided herein is a pharmaceutical composition according to the seventh aspect of a T cell according to the eleventh aspect, a MAIT cell according to the first or fourth aspect for use in (i) immunotherapy; (ii) treating, preventing or ameliorating cancer; (ii) treating, preventing or ameliorating a microbial infection; or (iv) treating, preventing or ameliorating an autoimmune disease.
In a tenth aspect, the present invention provides a method of: (i) Treating, preventing or ameliorating a disease in a subject with immunotherapy; (ii) treating, preventing or ameliorating cancer; (iii) Treating, preventing or ameliorating a microbial infection in a subject; or (iv) treating, preventing or ameliorating an autoimmune disease in a subject, the method comprising administering to a patient in need of such treatment or having administered a therapeutically effective amount of T cells according to the eleventh aspect, MAIT cells according to the first or fourth aspects or a pharmaceutical composition of the seventh aspect.
Preferably, the T cells, the MAIT cells or the pharmaceutical composition are used for the treatment, prevention or amelioration of T cell malignancies, which may be solid tumors or liquid tumors.
The T cell malignancy may be Peripheral T Cell Lymphoma (PTCL) or Cutaneous T Cell Lymphoma (CTCL).
Peripheral T Cell Lymphomas (PTCLs) include a number of rare invasive diseases in which the T cells of patients become cancerous. PTCL is divided into three classes, i.e., intranodal, extranodal and leukemia, each of which is encompassed by the present invention.
The PTCL may be a PTCL subtype selected from the group consisting of: adult T cell acute lymphocytic lymphoma or leukemia (ATL), enteropathy-associated lymphoma, hepatosplenic lymphoma, subcutaneous lipomyotic lymphoma (SPTCL), precursor T cell acute lymphocytic lymphoma or leukemia, and angioimmunoblastic T cell lymphoma (AITL).
Adult T cell acute lymphoblastic lymphoma or leukemia (ATL) is more common in japan and the caribbean region than in the united states and is associated with human T cell leukemia virus-1 (HTLV-1). Intestinal disease-associated lymphomas are associated with celiac disease, a chronic intestinal disease, caused by allergies to gluten proteins in wheat, rye and barley. Symptoms typically include stomach pain, weight loss, gastrointestinal bleeding, or intestinal perforation. Treatment of patients with enteropathy-associated T-cell lymphomas includes anthracycline-based chemotherapy regimens, nutritional supplements, and (if applicable) gluten-free diets. Hepatosplenic lymphoma is an extremely rare invasive disease, beginning in the liver or spleen, and commonly affecting young people over 20 and 30 years of age. Treatment of patients with hepatosplenic T cell lymphomas includes anthracycline-based chemotherapy and in some cases stem cell transplantation.
Subcutaneous lipoteulitis-like lymphoma (SPTCL) is the least rare and well-defined T cell lymphoma. This lymphoma occurs mainly in subcutaneous adipose tissue, leading to nodule formation. Symptoms include fever, chills, weight loss, and ulceration of the oral mucosa. SPTCL may be rapidly aggressive or inert (slow growing). Treatment includes anthracycline-based combination chemotherapy or local radiotherapy. Precursor T cell acute lymphocytic lymphomas or leukemias may be diagnosed as leukemia or lymphoma or both. This cancer is found in both children and adults, most commonly in adolescents and adult males. The treatment of patients newly diagnosed with precursor T cell acute lymphoblastic lymphoma or leukemia is active chemotherapy and radiation therapy. NelarabineIs approved for the treatment of recurrent or refractory precursor T cell acute lymphocytic lymphomas or leukemias in adults and children.
Angioimmunoblastic T cell lymphoma (AITL) is a tumor characterized by strong inflammatory and immune responses, which is evidenced by clinical, pathological, cellular and biological properties. Since tumor cells are phenotypically similar to follicular helper T (Tfh) cells, they are considered to function somewhat similar to non-neoplastic Tfh cells seen in reactive follicular hyperplasia. However, in most AITL cases, the follicles do not proliferate, but rather are depleted or destroyed. It has recently been reported that AITL comprises 36.1% of PTCL.
Cutaneous T Cell Lymphoma (CTCL) accounts for about 70-75% of primary cutaneous lymphomas. CTCL may be a CTCL subtype selected from the group consisting of: mycosis Fungoides (MF), sezary Syndrome (SS), and cd4+ small and medium polymorphic T cell lymphoproliferative diseases.
Mycosis Fungoides (MF) is the most common subtype. Cerclari syndrome (SS) is a more aggressive CTCL type. SS patients suffer from erythroderma (i.e. rash affecting >80% of body surface area BSA), lymphadenopathy, and the presence of large numbers of circulating neoplastic cd4+ T cells in peripheral blood.
In other embodiments, T cells, MAIT cells, or pharmaceutical compositions may be used to treat, prevent, or ameliorate a viral (e.g., HIV, HBV, HTLV, EBV, HPV), bacterial (e.g., TB), or fungal infection.
In other embodiments, T cells, MAIT cells, or pharmaceutical compositions can be used to treat, prevent, or ameliorate autoimmune diseases, such as systemic lupus erythematosus, rheumatoid arthritis, or myasthenia gravis.
Preferably, the method comprises triggering a sequence encoding a suicide protein. Thus, in embodiments where the nucleic acid construct comprises a sequence encoding EGFR or tgfr, the method preferably comprises administering an anti-EGFR antibody to the subject. For example, the anti-EGFR antibody may be the monoclonal antibody cetuximab. Administration of the antibody is capable of monitoring or eliminating CAR-T cells in the subject.
In embodiments where the nucleic acid construct comprises a sequence encoding iC9, the method may comprise administering a caspase-inducing drug (CID) to the subject. For example, the CID may include Rimiducid. Administration of CID can conditionally dimerize caspases, triggering apoptosis of CAR-T cells expressing the fusion protein, resulting in depletion of CAR-T cells in the subject.
In a most preferred embodiment, the construct encodes two suicide proteins, including iC9 and tgfr, so the use of an anti-EGFR antibody and CID can precisely control the longevity of CAR-T or CAR-MAIT cells in a subject receiving treatment.
It will be appreciated that CAR-T cells or CAR-MAIT cells (collectively referred to herein as "agents") according to the present invention can be used in monotherapy (e.g. T cells or CAR-MAIT cells alone) for therapy (preferably in immunotherapy), wherein (i) the treatment, amelioration or prevention of cancer or T cell malignancy; or (ii) treating, preventing or ameliorating a microbial infection, or (iii) an autoimmune disease. Alternatively, the CAR-T or CAR-MAIT cells according to the invention may be used as an adjunct to or in combination with known immunotherapy, or for the treatment of microbial infections as well as cancer or autoimmune diseases.
The agents of the invention may be combined in compositions having a variety of different forms, depending on the manner of use of the composition. Thus, for example, the composition may be in the form of a powder, tablet, capsule, liquid, ointment, cream, gel, hydrogel, aerosol, spray, micelle solution, transdermal patch, liposome suspension, or any other form suitable for administration to a human or animal in need thereof. It will be appreciated that the pharmaceutical carrier according to the invention should be a carrier that is well tolerated by the subject to whom it is administered.
Agents comprising the agents of the invention may be used in a variety of ways. For example, oral administration may be desired, in which case the agent may be contained within a composition that may be orally ingested, for example, in the form of a tablet, capsule, or liquid. The compositions comprising the agents and medicaments of the present invention may be administered by inhalation (e.g., intranasally). The compositions may also be formulated for topical use. For example, a cream or ointment may be applied to the skin.
The agents and medicaments according to the invention may also be incorporated into slow-release or delayed-release devices. Such devices may be inserted, for example, on or under the skin, and the drug may be released over weeks or even months. The device may be positioned at least adjacent to the treatment site. Such devices may be particularly advantageous when long-term treatment with the agents according to the invention is required and frequent administration (e.g. at least daily injection) is often required.
In a preferred embodiment, the agents and medicaments according to the invention can be administered to a subject by injection into the blood stream or directly into a site in need of treatment. The injection may be intravenous (bolus or infusion) or subcutaneous (bolus or infusion) or intradermal (bolus or infusion).
It will be appreciated that the amount of genetic construct or vector (i.e., agent) required is determined by its biological activity and bioavailability, which in turn depends on the mode of administration, physicochemical properties of the agent, and whether it is used as monotherapy or in combination therapy. The frequency of administration will also be affected by the half-life of the agent in the subject being treated. The optimal dosage to be administered can be determined by one of skill in the art and will vary with the particular agent used, the strength of the pharmaceutical composition, the mode of administration, and the progression of the disease being treated (e.g., cancer, T cell malignancy, microbial infection, or autoimmune disease). Other factors depending on the particular subject being treated will result in the need to adjust dosages, including subject age, weight, sex, diet, and time of administration.
In general, daily doses of the agent of the invention of between 0.001 μg/kg body weight and 10mg/kg body weight can be used for therapy, in particular for the treatment, amelioration or prophylaxis of cancer, T cell malignancy, microbial infection or autoimmune disease, depending on the particular agent. More preferably, the daily dose of agent is from 0.01 μg/kg body weight to 1mg/kg body weight, more preferably from 0.1 μg/kg to 100 μg/kg body weight, and most preferably from about 0.1 μg/kg to 10 μg/kg body weight.
Alternatively, the dose administered to the subject may be at 0.5x10 7 To 5x10 12 Transduction Units (TU)/Kg body weight. More preferably, the dose administered to the subject may be at 0.5x10 8 To 5x10 11 TU/Kg body weight. Most preferably, the dose administered to the subject may be at 0.5x10 9 To 5x10 10 TU/Kg body weight.
The agent may be administered before, during or after the onset of cancer, T cell malignancy, microbial infection or autoimmune disease. Daily doses may be administered as a single administration (e.g., a single daily injection). Alternatively, the agent may require two or more administrations per day. As an example, the agent may be administered at a dose of between 0.07 μg and 700mg (i.e. assuming a weight of 70 kg) twice daily (or more times depending on the severity of the disease being treated, e.g. cancer). The patient receiving treatment may be administered a first dose at wake-up and then a second dose at night (if a two dose regimen is employed) or every 3 or 4 hours thereafter. Alternatively, the agent may need to be administered once a week, or even once a month. Alternatively, a sustained release device may be used to provide the patient with an optimal dose of the agent according to the invention without the need to administer repeated doses. Known procedures, such as those conventionally employed in the pharmaceutical industry (e.g., in vivo experiments, clinical trials, etc.), may be used to form specific formulations of agents according to the invention and precise treatment regimens (e.g., daily doses and dosing frequency of the agents).
The pharmaceutical composition of the present invention is preferably an immunotherapeutic therapeutic composition, an autoimmune disease therapeutic composition, an anti-infective composition or an anti-cancer composition, i.e. a pharmaceutical formulation for therapeutic amelioration, prevention or treatment of cancer in a subject.
In an eleventh aspect, the invention also provides a method of preparing a pharmaceutical composition according to the seventh aspect, the method comprising combining a therapeutically effective amount of a MAIT cell according to the first or fourth aspect with a pharmaceutically acceptable carrier.
The "subject" may be a vertebrate, mammal, or livestock. Thus, the medicament according to the invention may be used for the treatment of any mammal, such as livestock (e.g. horses), pets, or may be used for other veterinary applications. Most preferably, the subject is a human.
A "therapeutically effective amount" of a genetic construct or vector is any amount of an agent that is required to treat a disease (e.g., cancer) or produce a desired effect when administered to a subject.
For example, a therapeutically effective amount of the genetic construct or vector used may be from about 0.001ng to about 1mg, preferably from about 0.01ng to about 100ng. Preferably, the amount of genetic construct or vector is from about 0.1ng to about 10ng, most preferably from about 0.5ng to about 5ng.
Reference herein to a "pharmaceutically acceptable carrier" is to any known compound or combination of known compounds known to those skilled in the art to be useful in formulating pharmaceutical compositions.
In one embodiment, the pharmaceutically acceptable carrier may be a solid and the composition may be in the form of a powder or tablet. The solid pharmaceutically acceptable carrier may include one or more substances which may also act as flavoring agents, lubricants, solubilizers, suspending agents, dyes, fillers, glidants, compression aids, inert binders, sweeteners, preservatives, dyes, coatings or tablet disintegrating agents. The carrier may also be an encapsulating material. In powders, the carrier is a finely divided solid which is admixed with the finely divided active agent according to the invention. In tablets, the active agent may be mixed with a carrier having the necessary compression characteristics in suitable proportions and compacted in the shape and size desired. The powders and tablets preferably contain up to 99% active agent. Suitable solid carriers include, for example, calcium phosphate, magnesium stearate, talc, sugar, lactose, dextrin, starch, gelatin, cellulose, polyvinylpyrrolidone, low melting waxes and ion exchange resins. In another embodiment, the pharmaceutical carrier may be a gel and the composition may be in the form of a cream or the like.
However, the pharmaceutical carrier may be a liquid and the pharmaceutical composition in the form of a solution. Liquid carriers can be used in preparing solutions, suspensions, emulsions, syrups, elixirs and pressurized compositions. The active agents of the present invention may be dissolved or suspended in a pharmaceutically acceptable liquid carrier, such as water, an organic solvent, a mixture of both, or a pharmaceutically acceptable oil or fat. The liquid carrier may contain other suitable pharmaceutical additives such as solubilizers, emulsifiers, buffers, preservatives, sweeteners, flavoring agents, suspending agents, thickening agents, colorants, viscosity regulators, stabilizers or osmo-regulators. Suitable examples of liquid carriers for oral and parenteral administration include water (partially containing additives as described above, e.g., cellulose derivatives, preferably sodium carboxymethyl cellulose solution), alcohols (including monohydric alcohols and polyhydric alcohols, e.g., ethylene glycol) and their derivatives, and oils (e.g., fractionated coconut oil and arachis oil). For parenteral administration, the carrier may also be an oily ester, such as ethyl oleate and isopropyl myristate. Sterile liquid carriers can be used in sterile liquid form compositions for parenteral administration. The liquid carrier for the pressurized composition may be a halocarbon or other pharmaceutically acceptable propellant.
The liquid pharmaceutical composition is a sterile solution or suspension and can be used by intramuscular injection, intrathecal injection, epidural injection, intraperitoneal injection, intravenous injection, and in particular subcutaneous injection. The agent may be formulated as a sterile solid composition which may be dissolved or suspended at the time of administration using sterile water, saline or other suitable sterile injectable medium.
The agents and compositions of the invention may be administered orally in the form of sterile solutions or suspensions containing other solutes or suspensions (e.g., sufficient saline or dextrose to render the solution isotonic), bile salts, acacia, gelatin, sorbitan monooleate, polysorbate 80 (oleic acid esters of sorbitol and its anhydrides copolymerized with ethylene oxide), and the like. The agents used according to the invention may also be administered orally in the form of liquid or solid compositions. Compositions suitable for oral administration include solid forms such as pills, capsules, granules, tablets and powders, as well as liquid forms such as solutions, syrups, elixirs and suspensions. Forms useful for parenteral administration include sterile solutions, emulsions and suspensions.
It is to be understood that the invention extends to any nucleic acid or peptide, or variant, derivative or analogue thereof, comprising essentially an amino acid or nucleic acid sequence of any of the sequences mentioned herein, including variants or fragments thereof. The terms "substantially amino acid/nucleotide/peptide sequence", "variant" and "fragment" may be sequences having at least 40% sequence identity to an amino acid/nucleotide/peptide sequence of any of the sequences mentioned herein. For example, 40% identity with the sequences identified by SEQ ID No. 1 to SEQ ID No. 36, etc.
Amino acid/polynucleotide/polypeptide sequences having a sequence identity of greater than 65%, more preferably greater than 70%, even more preferably greater than 75%, more preferably greater than 80% to any of the sequences described above are also contemplated. Preferably, the amino acid/polynucleotide/polypeptide sequence has at least 85% identity, more preferably at least 90% identity, even more preferably at least 92% identity, even more preferably at least 95% identity, even more preferably at least 97% identity, even more preferably at least 98% identity, most preferably at least 99% identity to any of the sequences mentioned herein.
The skilled artisan will understand how to calculate the percent identity between two amino acid/polynucleotide/polypeptide sequences. To calculate the percent identity between two amino acid/polynucleotide/polypeptide sequences, the two sequences must first be aligned and then the sequence identity value calculated. The percent identity of two sequences may take different values depending on: (i) Methods for aligning sequences, such as ClustalW, BLAST, FASTA, smith-Waterman (implemented in different programs) or structural alignment from 3D comparison; (ii) Parameters used in the alignment method, such as local to global alignment, pairing score matrices used (e.g., BLOSUM62, PAM250, gonnet, etc.), and gap penalties, such as functional form and constants.
After alignment, there are many different methods to calculate the percent identity between two sequences. For example, the number of identities may be divided by: (i) the length of the shortest sequence; (ii) alignment length; (iii) the average length of the sequence; (iv) the number of gapless positions; or (v) the number of equivalent positions other than overhang. Furthermore, it should be appreciated that the percent identity is also closely related to length. Thus, the shorter a pair of sequences, the higher the sequence identity that happens.
Thus, it should be appreciated that precise alignment of protein or DNA sequences is a complex process. The popular multiplex alignment program ClustalW (Thompson et al 1994,Nucleic Acids Research,22,4673-4680;Thompson et al, 1997,Nucleic Acids Research,24,4876-4882) is the method of choice for generating multiple alignments of proteins or DNA according to the present invention. Suitable parameters for ClustalW are as follows: for DNA alignment: gap open penalty = 15.0, gap extension penalty = 6.66, matrix = identity. For protein alignment: gap open penalty = 10.0, gap extension penalty = 0.2, matrix = Gonnet. For DNA and protein alignment: end= -1, gapdst=4. One skilled in the art will appreciate that it may be necessary to alter these and other parameters to achieve optimal sequence alignment.
Preferably, the percent identity between two amino acid/polynucleotide/polypeptide sequences can be calculated by alignment, i.e., (N/T) 100, where N is the number of positions of the sequence sharing the same residue and T is the total number of positions aligned, including gaps and with or without overhang. Preferably, the overhang is included in the calculation. Thus, the most preferred method for calculating percent identity between two sequences comprises (i) preparing a sequence alignment using the ClustalW program using a suitable set of parameters, such as the parameters described above; (ii) substituting the values of N and T into the following formula: sequence identity= (N/T) 100.
Other methods for identifying similar sequences are known to those of skill in the art. For example, a substantially similar nucleotide sequence will be encoded by a sequence that hybridizes under stringent conditions to a DNA sequence or its complement. By stringent conditions, the inventors mean that the nucleotide hybridizes to the filter-bound DNA or RNA in 3 Xsodium chloride/sodium citrate (SSC) at about 45℃and then washed at least once in 0.2XSSC/0.1% SDS at about 20-65 ℃. In addition, substantially similar polypeptides may differ from the amino acid sequences shown, for example, in SEQ ID No. 1 to SEQ ID No. 36 by at least 1, but less than 5, 10, 20, 50 or 100 amino acids.
Due to the degeneracy of the genetic code, it is apparent that any of the nucleic acid sequences described herein may be altered or modified to provide functional variants thereof without materially affecting the protein sequence encoded thereby. Suitable nucleotide variants are those having a sequence that is altered by substitution of different codons within the sequence encoding the same amino acid, thereby producing silent (synonymous) changes. Other suitable variants are variants having homologous nucleotide sequences but comprising all or part of the sequence, which are altered by substitution of different codons encoding amino acids having side chains with similar biophysical properties as the amino acids they replace, to produce conservative changes. For example, small nonpolar hydrophobic amino acids include glycine, alanine, leucine, isoleucine, valine, proline, and methionine. Large nonpolar hydrophobic amino acids include phenylalanine, tryptophan, and tyrosine. Polar neutral amino acids include serine, threonine, cysteine, asparagine, and glutamine. Positively charged (basic) amino acids include lysine, arginine and histidine. Negatively charged (acidic) amino acids include aspartic acid and glutamic acid. It will thus be appreciated that it will be apparent which amino acids may be substituted with amino acids having similar biophysical properties, and the skilled artisan will also be aware of the nucleotide sequences encoding these amino acids.
All of the features described herein (including any accompanying claims, abstract and drawings), and/or all of the steps of any method or process so disclosed, may be combined with any combination of the aspects described above, except combinations where at least some of such features and/or steps are mutually exclusive.
For a better understanding of the invention, and to illustrate how embodiments of the same may be carried into effect, reference will now be made, by way of example, to the accompanying drawings in which:
FIG. 1 shows the generation of third generation CD 4-targeted T cells according to an embodiment of the invention. A (1): the figure shows the functional elements comprised in one embodiment of the CAR construct according to the invention (called "CART 4"). The scFv derived from monoclonal antibody Hu5A8 was fused to the CD8 transmembrane domain (TM), CD28 intracellular domain, 4-1BB intracellular domain and CD3 zeta chain. the gene sequences of tgfr (truncated epidermal growth factor receptor) and iC9 (inducible caspase 9) are tagged behind the CAR by self-cleaving 2A linkers. A (2): the figure shows the functional elements comprised in another embodiment of the CAR construct according to the invention (called "cartvb7.1"). The scFv derived from monoclonal antibody 3G5 was fused to the CD8 transmembrane domain (TM), CD28 intracellular domain, 4-1BB intracellular domain and CD3 zeta chain. the gene sequences of tgfr (truncated epidermal growth factor receptor) and iC9 (inducible caspase 9) are tagged behind the CAR by self-cleaving 2A linkers. B: transduced T cells were stained with anti-mouse IgG F (ab)' 2 antibodies and anti-EGFR antibodies. Cell on CD3 + Proliferation on single lymphocytes, digital representation CAR + /tEGFR + Percentage of cells. C: after retroviral transduction of CARs, primary T cells were sampled daily and surface marker stained, including CD3 and tgfr. Blue histograms are the result of non-transduced cells. The percentage of cells positive for CAR and marker is shown. D: survival is defined as exposure to prescribed doses under untreated conditions and under Chemically Induced Dimer (CID) treatment conditionsRatio of percentage of EGFR positivity (a) or EGFR high expression (B) after 24 hours. E: the mean fluorescence intensity of EGFR expression in surviving cells is shown. The data reflects typical results for three replicate samples from different donors. Each sample was repeated three times. Data are expressed as mean ± SEM. The difference between groups was found to be significant by the two-tailed unpaired t test. * P =<0.01;*=p<0.05。
Figure 2 shows in vitro functional verification of an embodiment of CART 4T cells according to the invention. A: PBMC are activated by Dynabeads human T activator and IL7/IL 15. Activated PBMCs contained two T cell subsets: cd4+ and cd8+ (left). Cells were transduced with CART20 (middle) or CART4 (right) retroviral particles. From the third day after transduction, cells were stained with anti-CD 4 and anti-CD 8 antibodies and analyzed by flow cytometry. B: statistical data for cd4+ ratios are summarized in the figure. The data reflects typical results for five healthy individuals. C: primary cd4+ T cells (left) or cd20+ B cells (right) were co-cultured with autologous CART4 cells, CART20 cells or non-transduced cd8+ T cells for 4 hours. The absolute number of surviving target cells was counted by flow cytometry analysis using Countbright beads. D: two T cell lines, CEM-ss cells, jurkat cells and one B cell line were stained with anti-CD 4 antibodies. CD4 expression levels were assessed by flow cytometry analysis. E: representative results of CART4 cells killing T tumor cells. Each sample was repeated three times. The data reflect the typical results of three independent experiments. F: intracellular cytokine expression of CART4 cells co-cultured with different target cells. Each sample was repeated three times. The data reflect the typical results of three independent experiments.
Figure 3 shows CART4 cell specific killing of cd4+ T tumor cells. PBMCs of ATLL patients were recovered from liquid nitrogen and allowed to stand overnight in an incubator prior to flow cytometry analysis and co-culture experiments. A: PBMCs were stained with anti-CD 4, CD8 and specific TCR Vbeta. Flow cytometry analysis was performed after washing twice with PBS. Resuscitated ATLL (B) or CTCL (C) PBMC were co-cultured with allogeneic CART4 or CART20 cells for 4 hours prior to flow cytometry analysis. Each condition was repeated three times. Data are expressed as mean ± SEM.
Figure 4 shows that CART4 cells effectively mediate anti-leukemia effects in vivo. A: NRG immunodeficient mice were injected 1x10 5 Gluc/GFP transduced CEM-ss cells were then reinfused 4X10 by the retroorbital route 6 And (3) T cells. Ntdn=5, cart4n=7. B: each mouse was given 50 μl of peripheral blood and plasma was extracted for determination of luciferase activity. Continuous measurement of luciferase activity showed that CART4T cells inhibited cd4+ leukemia, but NTD cd8+ T cells had no inhibitory effect. C: the overall survival of mice treated with either the indicated CART4 cells or control NTDT cells was analyzed by Kaplan-Meier survival. D: at the endpoint, the mice were dissected. Spleen and bone marrow were ground and stained with anti-CD 4 mAb and DAPI to detect residual tumor cells. Tumor cells were identified as DAPI-CD4+GFP+. E: CD4 expression levels of residual tumor cells in spleen. Gray line-cultured CEMss cells, black line-CEMss cells from NTD control mice, red line-CEMss cells from CART4 treated mice. F: spleen cells were co-cultured with CART4 cells or NTD T cells at a ratio of 1:5 for 4 hours, and then flow cytometry analysis was performed. Data are expressed as mean ± SEM. Significance analysis was performed using a two-tailed unpaired t-test. * =p <0.05。
Figure 5 shows the development of a GMP compliant CAR-T cell manufacturing process. A: time course of CAR-T cell production. Human PBMC were activated with CD3/CD28 Dynabeads and IL7/IL15 in flasks prior to retroviral transduction of CARs. . Two days after transduction, transduced cells were transferred to G-Rex plates (1X 10 6 /square meter). Cytokines were replenished every two to three days until day 12. B: cell expansion during manufacturing. Representative flow charts of CAR transduction rate (C) and differentiation status (D) at day 12. E: statistics of T cell differentiation. CM: a central memory; EM: effect memory. Each sample was repeated three times. Each sample was repeated three times. Data are expressed as mean ± SEM. The data reflects typical results for four healthy individuals.
Fig. 6 shows the generation and functional verification of cartvb7.1. A: transduced T cells were stained with anti-EGFR antibody to detect CAR expression. Cells proliferate on cd3+ single lymphocytes, and numbers represent the percentage of tgfr+ cells. B: endogenous tcrvb7.1+ population detection five days after CAR transduction. C: tcrvb7.1+ primary ATL samples were CFSE stained and mixed with different numbers of effector CAR-T cells. After 6 hours of incubation, cells were collected and stained with DAPI, 3G5 and CD3 antibodies for 15 minutes. A fixed volume of 5uL Countbright beads was added to each sample. The samples were loaded into a flow cytometer for absolute quantification. D: representative results of cartvb7.1 cell killing T tumor cells. Each sample was repeated three times.
FIG. 7 shows the generation process of MAIT-CART cells. A: representative flow cytometry examples of MAIT cell staining. PBMC were stained with BV421 MR1-5-OP-RU tetramer and PE anti-TCR V.alpha.7.2 antibody for 20 min. Cells were washed twice with PBS prior to characterization by flow cytometry. B: gating strategy for flow cytometry sorting of MAIT cells. TCR vα7.2+ cells were isolated from PBMCs by magnetic separation method, followed by staining with BV421 MR1-5-OP-RU tetramer and PE anti-CD 3 antibody for 20 min. Cells were washed twice with PBS and loaded into a moldy cell sorter. Sorting and culturing the MR1-5-OP-RU tetramer positive population. C: amplification curves of MAIT cells cultured in vitro and CD8+ T cells as control. D: after 12-14 days of culture, more than 90% of the expanded MAIT cells have MR1-5-OP-RU tetramer specificity. E: CAR transduced cd8+ T cells and MAIT cells were stained with anti-EGFR flow antibodies to test transduction efficiency.
FIG. 8 shows expanded MAIT and CD 8T cells co-cultured with CFSE-stained CD4+ cell line CEMss at ratios of E: T0:1, 1:1, 3:1 and 5:1. The co-cultivation system was harvested after 20 hours of cultivation. The absolute number of surviving tumor cells was calculated by flow cytometry analysis using Countbright beads. (A) flow cytometry data under 3:1E:T conditions. (B) cytotoxicity statistics. Data are expressed as mean ± SEM.
FIG. 9 shows a first embodiment of the expression vector "CART4" for transduction of MAIT cells.
FIG. 10 shows a second embodiment of the expression vector "CARTVb7.1" for transducing MAIT cells.
FIG. 11 shows the detection of human MAIT cells from Peripheral Blood Mononuclear Cells (PBMC). Lymphocytes were gated and MAIT cells were identified by expression of CD3 and reactivity with the 5-OP-RU/MR1 tetramer (A) or expression of CD161 and TCRVα7.2 (B).
FIG. 12 shows the isolation of human MAIT cells from Peripheral Blood Mononuclear Cells (PBMC). After isolation of vα7.2 expression by magnetic beads, the vα7.2 positive cell population was enriched from 2.2% (a) to >97%. MAIT cells were sorted according to reactivity with 5-OP-RU/MR1 tetramer (B).
FIG. 13 shows the production of CAR-MAIT cells. After 12-14 days of culture, more than 90% of the expanded MAIT cells have MR1-5-OP-RU tetramer specificity (A). CAR transduced cd8+ T cells and MAIT cells were stained with anti-EGFR flow antibody to detect transduction efficiency (B).
Figure 14 shows that CAR-MAIT4 cells exhibit potent anti-leukemia function in vivo. A: NSG immunodeficient mice were given 1X10 intravenous injections 6 Gluc/GFP transduced CEM-ss cells, then injected intravenously 4X10 6 Individual CARs transduce cells. Bioluminescence imaging was performed twice weekly until day 45 after tumor injection. B: overall survival of the indicated CAR-transduced cell treated mice was obtained by Kaplan-Meier survival analysis. C: bioluminescence imaging (BLI) of mice 40 days after tumor injection. D: irradiation of individual mice at day 40. n=5 or 6 mice/group. * By t-test P<0.05.Ph, photons; sr, sphericity.
FIG. 15 shows enrichment of MAIT cells in PBMC. PBMC were stimulated with MR1/5-OP-RU composite beads (bead to cell ratio 1:1) or 5-OP-RU antigen (10 nM) in the presence of the different cytokines shown in the tables for 6 days. The fold increase in MAIT cells was calculated by dividing the frequency of viable MAIT (CD3+Va7.2+CD161+) cells on day 6 by the original frequency of MAIT cells on day 0. The first 5 groups are marked with orange colors (i.e., conditions 1, 3, 11, 12, and 13). The combination of IL-12, IL-18 and IL-23 maximizes the fold increase in MAIT cells in PBMC.
Examples
T cell therapies based on Chimeric Antigen Receptors (CARs) have met with great success in the treatment of B cell malignancies by targeting pan B cell specific antigens. However, similar strategies for T cell lymphomas have not been achieved to date, mainly due to the potentially serious toxicity associated with overall T cell depletion and low normal T cell dysfunction/frequency in T lymphomas compared to B cell malignancies. To overcome these limitations, the inventors designed two novel CAR constructs, the first referred to herein as "CART4" with specificity for the pan-T cell marker (CD 4) and the second referred to as "cartvb7.1" with specificity for the TCR-Vb isotype chain. Both CAR constructs contained one or two safety switches selected from truncated epidermal growth factor receptor (tgfr) and inducible caspase 9 (iC 9). However, as shown in fig. 1, both safety switches are shown. The inventors investigated whether mucosal-associated constant T (MAIT) cells with low alloreactivity would exhibit similar anti-tumor killing activity to conventional T cells after transduction with CAR constructs.
In addition, it is well known that MAIT cells are a subset of congenital T cells, defined as CD3+TCRVa7.2+CD161+ cells, recognizing the MHC class I molecule MR1. Previous studies have shown that MAIT cells can be expanded in vitro, but require the presence of allogeneic feeder cells. However, one problem with this approach is that it is difficult to mass produce and quality control. In this study, the inventors have now developed an efficient method for in vitro expansion of MAIT cells by first stimulating PBMC with antigen (5-OP-RU) loaded MR1 tetramer beads or with 5-OP-RU alone, in vitro culture in the presence of a combination of cytokines (IL-2, IL-7, IL-15, IL-12, IL-18 and IL-23) for up to 6 days. MAIT cells were then isolated by MACS or FACS sorting, followed by further expansion by anti-CD 3/CD28 beads for CAR-based treatment as described in the previous examples.
Materials and methods
Construction of CAR plasmids
DNA fragments encoding scFv of Hu5A8 and Leu16 and human igκ leader were synthesized by Genewiz. NcoI and NotI were used to cleave these fragments and MSCV CAR-expressing retroviral vectors. The MSCV CAR expression vector is modified by MSCV-IRES-GFP vector (Addgene), and IRES-GFP region is replaced by human CD8 transmembrane domain and third generation CAR intracellular signaling domain (co-stimulatory domain of CD28 and 4-1BB, CD3 zeta signaling domain). the sequence of tgfr was obtained from US 8802347B2, deleting domains I and II of the extracellular portion and intracellular domain of the human EGFR protein. tEGFR was synthesized by Genewiz and has a self-cleaving T2A sequence and a leader peptide for the human granulocyte-macrophage colony-stimulating factor (GM-CSF) receptor. The DNA sequence of iC9 is provided by Lishan Su professor (Church mountain division of university of North Carolina) friends. The DNA fragment of iC9 consists of truncated caspase 9, including the large and small subunits of the caspase molecule, linked to a 12-kDa human FK506 binding protein (FKBP 12) via a short Gly-Gly-Gly-Ser (GGGS) flexible linker.
Production of retroviral vectors
Plat-GP cells (Cellbiolabs) were transfected with MSCV-retroviral plasmid and pCMV-VSVG vector (adedge) by 7ul X-tremgene HP transfection reagent (Roche) to generate viruses with VSV envelope. To generate high titers of CAR-encoding retrovirus supernatant, a stable virus-producing cell line was subsequently performed with PG-13 (ATCC). PG-13 cells were transduced with Plat-GP virus supernatant containing 8ug/ml polybrene (Sigma). The plates were wrapped with preservative film and centrifuged at 1000g for 2 hours at 32 ℃. To generate high titers of viral particles, confluent cells were passaged by trypsinization. After 24 hours, the supernatant was collected. After centrifugation at 300g for 5 minutes, the medium was dispensed and stored at-80 ℃.
Primary T cells and tumor cells
Peripheral Blood Mononuclear Cells (PBMC) of healthy donors were isolated by Ficoll-Paque PLUS density gradient centrifugation (GE Healthcare) for CAR-T cell engineering. T lymphoma cell lines derived from ATL or CTCL patients were cultured in D10 medium (DMEM with 10% fetal calf serum, 100IU/mL penicillin, 100. Mu.g/mL streptomycin and 2mM L-glutamine), and T leukemia cell lines (Jurket or CEM) were cultured in R10 medium (RPMI 1640 with 10% fetal calf serum, 100IU/mL penicillin, 100. Mu.g/mL streptomycin and 2mM L-glutamine).
Isolation and expansion of MAIT cells
MAIT cells were isolated from healthy PBMC by a two-step procedure using anti-human TCR V.alpha.7.2 antibody (Biolegend, cat # 351724), microbeads (Miltenyi, cat # 130-090-485), and then BV421 MR1-5-OP-RU tetramer (supplied by Jim McCluskey professor of the university of Meerce, australia). Briefly, TCR vα7.2+ t cells were isolated from PBMCs according to the manufacturing procedure using biotinylated anti-human TCR vα7.2 antibody and an avidin microblads kit (Miltenyi). The MAIT cells were then isolated from TCR V.alpha.7.2+ T cells by staining BV421 MR1-5-OP-RU tetramer and FACSMELID cell sorter (BD) for FACS sorting.
MAIT cells were isolated from PBMC by a two-step procedure. PBMC cells were counted and diluted to 1X 10 in PBS/EDTA buffer in 15mL tubes 8 cells/mL. Every 10 8 mu.L of biotin anti-human TCR V.alpha.7.2 antibody (Biolegend, cat # 351724) was added to each cell and incubated at 4℃for 20 minutes. Cells were washed by adding 10 volumes of PBS/EDTA buffer and centrifuged at 300 Xg for 10 min. The supernatant was completely aspirated. Every 10 8 mu.L of PBS/EDTA buffer and 200. Mu.L of avidin MicroBeads (Miltenyi, cat# 130-090-485) were added to each cell. Mix well and incubate at 4℃for 15 min. Cells were washed by adding 10 volumes of PBS/EDTA buffer and centrifuged at 300 Xg for 10 min. The supernatant was completely aspirated. Up to 10 cells were resuspended in 1mL PBS/EDTA buffer. The MS column (Miltenyi) was placed in the magnetic field of a suitable MACS separator. The column was washed with 500. Mu.L of PBS/EDTA buffer. The cell suspension was applied to the column. The column was washed with 3X 500. Mu.L PBS/EDTA buffer. 1mL of PBS/EDTA buffer was added and the cells remaining outside the magnetic field were eluted. TCR V.alpha.7.2+ cells were collected and stained with APC anti-human CD3 (Biolegend) and BV421 MR1-5-OP-RU tetramer (1:500) at 4℃for 30 min. Cells were washed by adding 10 volumes of PBS/EDTA buffer and centrifuged at 300 Xg for 10 min. The supernatant was completely aspirated. Every 10 8 1mL of PBS/EDTA buffer was added to each cell. CD3+MR1-5-OP-RU+ cell populations were flow sorted by FACSMEbody cell sorter (BD).
Activation and expansion of MAIT cells
The sorted MAIT cells were counted and resuspended to 10 in R10 medium (90% RPMI+10% FBS+1% penicillin/streptomycin+2 mM L-glutamine) 6 Individual/mL. Cells were activated using Dynabeads human T activator CD3/CD28 (Life Technologies company) and 100IU/mL IL-2 was used in 24 well plates in an incubator at 37℃such that the bead to cell ratio reached 1:1. Two days after transduction, cells were harvested and transferred to 6-well plates. Refreshing R10 to 0.5-1x 10 6 And each mL. The cells were refreshed every 2-3 days with R10 medium.
Production of CAR-T or CAR-MAIT cells
Purified PBMC or MAIT cells were stimulated with Dynabeads human T activator CD3/CD28 (Life Technologies Co.) in R10 medium containing 100IU/mL IL-2 for 48 hours. Activated cells were then transfected with retrovirus encoding the CAR construct and cultured in R10 for an additional 48 hours. Prior to harvest, CAR-T or CAR-MAIT cells were maintained in G-Rex six well plates (Wilsonwolf) in the presence of recombinant IL7 and IL15 (Miltenyi) for an additional 7 days.
Production of CAR-T or CAR-MAIT cells
Retroviral transduction was performed 48 hours after T cell activation. The transduction step may be repeated after 24 hours if necessary to increase transduction efficiency. Will be 10x10 6 The individual cells were transferred to G-Rex six well plates (Wilsonwolf) and further cultured with 110mL of R10 medium. Cytokine IL7/15 was supplemented every two or three days. Cells were cultured in G-Rex for one week prior to harvest.
Co-culture cytotoxicity assay
The non-radioactive killing assay was performed as reported previously (Rowan et al, 2014). Briefly, target cells were stained with 1uM CFSE (Biolegend) for 15 min at 37 ℃. After 3 washes in PBS 100000 target cells were mixed with CAR-T or CAR-MAIT cells in a ratio of 1:1, 1:3, 1:5. 200ul of the co-cultures were incubated in an incubator at 37℃for 4 hours. To the samples were added 1ul DAPI and 5ul Countbright beads (BD Biosciences). Samples were collected by flow cytometry at a constant rate. The number of surviving target cells was calculated as: number of cells in tube = (number of cells collected/number of beads collected) x total number of beads added to tube.
Intracellular cytokine staining
CART4 or CART 20T cells and specific target cellsCo-culture was performed in 96 well U-bottom plates. All cells were at 2x10 5 Each well was inoculated in 200 uL/well of R10 medium. T cells cultured alone served as negative control and T cells cultured were stimulated in combination with 10ug/ml PMA and 10ug/ml ionomycin (Biolegend) served as positive control. After 1 hour of incubation, 10ug/mL briafectin A (Biolegend) was added to all wells. The co-cultivation system was harvested after five more hours of cultivation. Cells were surface marker stained with antibody for 30 minutes in the dark. Cells were fixed with 4% paraformaldehyde solution (Biolegend) for 15 min at room temperature and then rinsed with PBS. After re-washing with the fixation buffer, the cells were resuspended with a mixture containing the intracellular staining antibodies. The cells were incubated at 4℃for 30 min and then washed with fixation buffer. They were analyzed by flow cytometry and Fluorescence Minus One (FMO) control to determine the expression levels of IFN- γ and TNF- α.
In vitro suicide test
Transduction of CART4 or CART4 w/o iC9 constructs with retroviruses generates CART4 with or without iC9 cells. CAR-T cells remained expanded for 5 to 7 days after transduction. Caspase-inducing drug (CID), B/B homodimer AP20187 (Clontech Laboratories) was added to T cell cultures at different concentrations. After 24 hours, CID-induced apoptosis was assessed using annexin-v/7-AAD (BD Biosciences) staining and flow cytometry analysis. Surviving cells were quantified by counting beads (BD Biosciences). The survival index calculation method is as follows: number of surviving tEGFR+ cells/number of surviving tEGFR+ cells in untreated control samples.
In vivo mouse xenograft experiments
In vivo experiments of T leukemia cell lines were performed using NRG mice (Jackson Laboratory) of 6 to 8 weeks of age. Will co-express Gaussia luciferase and EGFP 0.5x10 6 CEM-ss cells were injected into mice by reverse-track. The mice were then randomized prior to T cell injection. PBMCs from healthy donors are activated and transduced to generate CART4T cells or non-transduced T cells. On the day of transfusion, non-contacted microbead human CD 8T cell kit (Miltenyi) was used to extract from CART4T cells or non-transduced T cells according to the manufacturer's instructionsCART4 cd8+ T cells and non-transduced cd8+ T cells were sexually isolated. Will be 4×10 6 The isolated cells were washed twice with PBS, resuspended in 100ul and infused into xenograft mice by retroorbital injection. 30-50ul of peripheral blood was withdrawn weekly through the empty tail. After centrifugation at 500g for 5 minutes, the plasma was separated and luciferase activity was measured according to the manufacturer's instrument (Thermo Fisher Scientific). After erythrocyte lysis, cells were resuspended with 100ul of antibody premix for surface marker staining, including human CD45, mouse CD45, human CD3, human CD8, human EGFR, and live/dead dyes. The cell subpopulation composition was analyzed using a flow cytometer (BD AriaIII). Mice were closely monitored in all studies described herein. Mice were euthanized when they exhibited one of the following symptoms: initial weight loss was more than 20%, a pronounced sleepiness, a humpback posture, severe diarrhea or severe dermatitis.
Statistical analysis
Statistical analysis was performed using GraphPad Prism software version 6.0 (GraphPad software). Two sets of data were compared using a two-tailed unpaired t-test. * P <0.05, < P <0.01, < P <0.001. All data with error bars are expressed as mean ± Standard Error of Mean (SEM). P values less than 0.05 are significant. Data were analyzed using GraphPad Prism software (version 8).
1.Specific method
1.1.Detection of MAIT cells
1.1.1. Preparation of human Peripheral Blood Mononuclear Cells (PBMC)
1.1.1.1. Peripheral blood from 5mL volunteer donors was transferred to heparinized tubes.
1.1.1.2. Whole blood was diluted with an equal volume of PBS.
1.1.1.3. 5mL of Histopaque-1077 was placed in a 15mL centrifuge tube. Carefully add 10ml of diluted blood solution gently to Histopaque-1077 along the tube wall; without disrupting the liquid interface.
1.1.1.4. Centrifuge at 400x g for 30 minutes at room temperature.
Note that: ensuring that the centrifuge braking and acceleration settings are at a minimum setting, severe braking and acceleration may affect layer separation.
1.1.1.5. After centrifugation, the upper layer was carefully aspirated with a Pasteur pipette to within 0.5cm of the opaque interface containing monocytes. The upper layer is discarded.
1.1.1.6. Harvested PBMCs were washed twice with 10ml PBS by centrifugation at 250x g for 10 minutes.
1.1.1.7. PBMC pellet was resuspended in RPMI1640 medium.
Preparation of 5-OP-RU/MR 1-tetramer labeled with BV421
1.1.2.1. 6.8 μl of 0.5mg/ml streptavidin-BV 421 was diluted into 10.2 μl PBS and mixed well.
1.1.2.2. 1/10 of the streptavidin-BV 421 solution (1.7. Mu.l) was added to 18. Mu.l of MR1-5-OP-RU solution (5. Mu.g) every 10 minutes and mixed with a pipette and incubated in the dark at room temperature between the two steps.
1.1.2.3. The BV 421-labeled 5-OP-RU/MR1 solution was maintained at 4 ℃.
The tetramer should be titrated for use; a dilution of 1:500 is usually sufficient.
1.1.3. Detection of human MAIT cells by flow cytometry
Human MAIT cells can be detected by flow cytometry, by 5-OP-RU loaded MR1 tetramer or co-stained with CD161 and TCR V.alpha.7.2 chain antibodies. In general, MAIT cells account for 0.1-10% of CD3+ T cells in peripheral blood. 1.1.3.1. 1X 10 staining buffer per 100. Mu.l FACS 6 The concentration of individual cells resuspended PBMCs.
1.1.3.2. FACS antibodies and/or 5-OP-RU/MR1 tetramers are added to the samples.
For detection of human MAIT cells, two methods can be used:
a) Tetramer staining: human 5-OP-RU MR1 tetramer (1:500) and APC-H7 conjugated anti-human CD3 (1:200) were labeled with BV 421.
b) Substitution markers: PE conjugated anti-human TCR Va7.2 (1:200), APC-H7 conjugated anti-human CD3 (1:200) and FITC conjugated anti-human CD161 (1:200).
1.1.3.3.4 ℃for 30 minutes in the absence of light.
1.1.3.4. Cells were washed with FACS staining buffer by centrifugation at 300x g for 5 min at 4 ℃ and resuspended with 300 μl FACS staining buffer.
1.1.3.5. MAIT cells were analyzed by flow cytometry (see FIG. 11).
1.2.Isolation of MAIT cells
Magnetic bead separation of vα7.2+ cells.
1.2.1.1. PBMCs were collected and cells were washed with binding buffer. The supernatant was discarded and concentrated at 1X 10 7 100 μl of MACS buffer resuspended cell pellet. PE anti-human TCR V.alpha.7.2 antibody (1:100) was added. Mix well and incubate on ice for 30 minutes.
1.2.1.2. The cells were washed once with MACS buffer by centrifugation at 300x g for 5 min.
1.2.1.3. MACS buffer at 10 7 Cells were resuspended at a concentration of/80. Mu.l. Every 10 7 Mu.l of anti-PE microbeads were added to each cell, and incubated on ice for 20 min.
1.2.1.4. Cells were washed once with 10 volumes of MACS buffer. Centrifuge at 300x g for 5 minutes. Resuspended in 1ml MACS buffer.
1.2.1.5. The MS column was pre-washed with 1ml MACS buffer and assembled on a magnet. The cells were applied to the column and the column was washed 3 times with 1ml MACS buffer each time.
1.2.1.6. The column was removed from the magnet and bound cells eluted in 1ml MACS buffer.
Flow sorting of MAIT cells
1.2.2.1. Magnetically isolated cells were collected and centrifuged at 300x g for 5 minutes.
1.2.2.2. MACS buffer at 10 7 Cells were resuspended at a concentration of 100. Mu.l. BV 421-labeled human 5-OP-RU MR1 tetramer (1:500) and APC-H7-conjugated anti-human CD3 (1:200) were added. Incubate on ice for 20 minutes.
1.2.2.3. Cells were washed once with 10 volumes of MACS buffer. Centrifuge at 300x g for 5 minutes. Resuspended in 2ml MACS buffer.
1.2.2.4. The BD Prodigy sorter was opened and the cell samples loaded. Cd3+ tetramer+ cell populations were sorted (see fig. 12).
1.3.Activation of MAIT cells
1.3.1. Sorted MAIT cells were collected and centrifuged at 300x g for 5 min.
1.3.2. The supernatant was discarded and resuspended to 10 in R10 medium 6 Individual cells/ml.
1.3.3. Dynabeads human T activator CD3/CD28 was resuspended by vortexing for 30 seconds.
1.3.4. The required volume of Dynabeads was transferred to a tube.
1.3.5. An equal volume of buffer was added and vortexed for 5 seconds. The tube was placed on a magnet for 1 min and the supernatant was discarded.
1.3.6. The tube was removed from the magnet and the washed Dynabeads were resuspended in R10 medium.
1.3.7. The required volume of Dynabeads was added to the cell suspension and 100IU/ml IL-2 was added to a 24-well plate in an incubator at 37℃so that the bead to cell ratio reached 1:1.
1.4.Retroviral transduction of MAIT cells
1.4.1. Retroviral transduction was performed 48 hours after MAIT cell activation.
1.4.2. One day prior to transduction, retroNectin coated plates were prepared. 15 μg of retroNectin was added to 1ml PBS.
Mix well and add to one well of a 24-well plate without tissue culture treatment.
1.4.3. The plates were wrapped with preservative film and stored overnight in a refrigerator at 4 ℃.
1.4.4. On the day of gene transfer, unbound retroNectin was removed from the wells. Wash twice with 2ml PBS. Avoiding sufficient drying.
1.4.5. The retrovirus supernatant was thawed in a water bath at 37 ℃. 1ml of virus supernatant was transferred to each well of the RetroNectin coated plate.
1.4.6. The plates were wrapped with preservative film and centrifuged at 1000x g for 2 hours at 32 ℃.
1.4.7. During centrifugation, activated MAIT cells are collected. The cells were resuspended to a concentration of 1X 10 with fresh R10 medium containing 100IU/ml IL-2 6 /ml。
1.4.8. After the end of the rotation, the supernatant on the plate was discarded. 1ml of cell suspension was added to each well.
1.4.9. Plates were centrifuged at 500x g for 10 minutes.
1.4.10. The plates were returned to the 37℃incubator.
1.4.11. The transduction step is repeated as necessary to increase transduction efficiency.
Note that: transduction efficiencies can be measured by flow cytometry 48 hours after transduction.
1.5.Expansion of CAR-MAIT cells
1.5.1. Two days after retroviral transduction, cells were harvested and counted by a hemocytometer.
1.5.2. Will be 1x 10 7 Individual cells were transferred to one well of a Grex6M well plate. 130ml of fresh R10 medium containing 100IU/ml IL-2 was added and the plates were returned to the incubator.
1.5.3. IL-2 was refreshed every three days to a final concentration of 100IU/ml.
1.5.4. After 8-12 days of culture, CAR-MAIT cells can be harvested (see FIG. 13).
Note that: the amplified CAR-MAIT cells can be used for phenotypic testing, functional assays, or liquid nitrogen freezing.
Results
Example 1: production of CD 4-targeting T cells and TCR Vbeta 7.1-targeting T cells
Referring to fig. 1A (1) and (2), functional elements included in two different embodiments illustrating CAR constructs according to the invention are shown.
In each embodiment, the construct is flanked by upstream and downstream Long Terminal Repeats (LTRs). The 5 'promoter is located downstream of the 5' LTR, and may be a PGK promoter. The promoter has an SP at its 3' end, an Ig kappa signal peptide, which directs the fusion protein to the T cell outer membrane. An scFv region is provided 3' to the SP, which includes an upstream VL (variable light chain) sequence, a central G4S sequence, and a downstream VH (variable heavy chain) sequence. In one embodiment (as shown in fig. 1A (1)), the VL and VH sequences may be Hu5A8 light chain variable region and heavy chain variable region to bind CD4 antigen. In other embodiments (as shown in fig. 1A (2)), the VL and VH sequences may be 3G5 light chain variable regions and heavy chain variable regions to bind TCR-vb7.1.
The scFv region has a CD8a hinge and a Transmembrane (TM) domain 3' to the scFv region for CAR display and anchoring. The hinge and the 3' end of the TM are provided with intracellular domains, including the signal domains of the CD28, 4-1BB and CD3 zeta chains, which trigger intracellular signaling pathways. The P2A self-cleaving peptide is located 3 'of the zeta chain and 5' of the truncated EGFR (EGFRt) for tracking and acting as a first safety switch. The second P2A self-cleaving peptide is located at 3 'of EGFRt and 5' of inducible caspase 9 (iC 9), acting as a second safety switch. The construct includes woodchuck hepatitis regulatory element (WPRE) (see plasmid of FIGS. 9 and 10) that enhances expression, and finally the terminal 3' LTR.
The DNA sequence of the humanized 5A8 (Hu 5 A8) mouse IgG antibody with immunospecific for human CD4 was found in CN 103282385. Hu5A8, also known as TNX-355 or Ai Bali bead mab (ibalizumab), is widely evaluated in phase I and phase II clinical trials to inhibit HIV entry by blocking the HIV binding site of the CD4 molecule. As a control, VH and VL chains of an anti-CD 20 monoclonal antibody (Leu 16) were also synthesized and their efficacy was assessed in preclinical and clinical CAR-T studies. The scFv fragment was cloned into the backbone of the third generation CAR plasmid, with a CD8 transmembrane domain, a CD28 intracellular domain, a 4-1BB intracellular domain, and a CD3 zeta chain. The use of third generation CARs has been demonstrated to be superior to first and second generation CARs. As an option, the utility of tgfr as an in vivo tracking marker and as the first safety switch to ablate engineered CAR-T cells was examined. Thus, the residual tgfr sequence is linked to the CAR sequence by a T2A-ribosome jump sequence.
CAR-T cells can sometimes remain in patients for decades, as is the case with anti-CD 19 and anti-HIVCAR assays. Unlike B cell dysgenesis, long-term cd4+ T cell dysgenesis can be life threatening. Thus, it is necessary to establish a safe method for removing the CART4 cells of the invention from the patient in case of emergency after tumor or virus elimination or due to serious side effects during CAR-T treatment. Dimerization drug-induced caspase 9 (iC 9) suicide switch based on fusion of human caspase 9 with mutated human FK506 binding protein (FKBP), conditional dimerization can be achieved in the presence of the small molecule chemical drug AP20187 (termed caspase-induced drug, CID). The use of iC9 has been demonstrated to be safe and effective in clinical trials of semi-syngeneic HSC transplantation. Thus, a gene fragment comprising CD4 CAR, tEGFR and iC9 was subsequently synthesized (FIG. 1 A.1) and inserted into a retroviral MSCV (murine Stem cell Virus) vector (as shown in FIG. 9; 10,348 bp). Furthermore, a gene fragment comprising TCR Vmeeting 7.1 CAR, tEGFR and iC9 was subsequently synthesized (FIG. 1 A.2) and inserted into a retroviral MSCV (murine Stem cell Virus) vector (as shown in FIG. 10; 10,347bp).
To confirm co-expression of CAR and tggfr, human PBMCs were activated with Dynabeads human T activator and genetically engineered to express CAR/tggfr/iC 9 gene constructs by retroviral transduction of the plasmids shown in fig. 9 and 10. Indeed, the expression levels of CAR and tgfr are closely related and after surface staining with a mouse scFv specific anti-mouse IgG F (ab') 2 antibody binding EGFR specific antibody, a double positive cell population can be detected (fig. 1B). As T cells expand, the tgfr+ cell population maintains its proportion around 50% of the total cell number (fig. 1C).
To evaluate the efficiency of the in vitro iC9 safety switch, CART4 variants (CART 4 w/o iC 9) without iC9 gene were cloned as controls. T cells transduced with CART4 or CART4 without iC9 construct were exposed to increasing concentrations of CID AP20187 (0.1 nM to 100 nM) for 24 hours. Flow cytometry analysis was performed using 7AAD and annexin-V to understand cell death. The percent of tgfr positivity in the surviving cell population decreased with increasing CID concentration. A single 100nM dose of CID resulted in the elimination of 69.1% of tggfr high cells (fig. 1D). Consistent with observations from other studies, the escape killed cells were those expressing low levels of transgene, and the average fluorescence intensity (MFI) of tgfr was reduced by 50% after CID (fig. 1E). Thus, non-reactive T cells express iC9 insufficient to activate CID function. For clinical use, CAR-T cells may need to be sorted prior to administration to obtain adequate transgene expression.
Example 2: in vitro function of CART 4T cellsVerification
Within four days after CAR transduction, cd4+ T cells were almost completely depleted compared to the non-transduced (NTD) and CART20 controls, with about 45% of cells still being CD4 positive (fig. 2A). These data indicate that CART4 cells have strong anti-CD 4 activity during T cell expansion.
Co-cultures were established against autologous primary healthy donor PBMC. CFSE labeled autologous PBMCs were co-cultured with cd8+ CART4 cells or CART20 cells. In both cases, CART4/20 cells were able to produce high levels of cytotoxicity to the respective target cells. During 4 hours co-culture 94% of CD4+ cells in PBMC were lysed by CART4 cells at an E:T ratio of 3:1. However, CART4 has no specific T cytotoxicity for cd20+ cells compared to NTD T cells (fig. 2C).
To further evaluate the function of CART4 cells, the inventors tested the antitumor efficacy of CART4 cells using Jurkat cell lines and CEM-ss cell lines. Jurkat and CEM-ss cell lines are T cell lines originally established from the peripheral blood of patients with T cell leukemia or human T4 lymphocytic leukemia. Both cell lines expressed CD4, whereas CEM-ss cell lines expressed higher levels of CD4 (fig. 2D). In fact, CART4 cells target T tumor cell lines according to CD4 expression levels. CART4 cells were successfully depleted of CEM-ss cells at a 5:1 E:T (effector: target) ratio after short term culture. As a control, CART4 cells were also tested for their activity on CD 4-lymphoma cells (a human B cell line that does not express CD4, BCL) (fig. 2D). Flow cytometry analysis showed that CART4 cells failed to target BCL (fig. 2E). Furthermore, CART4 cells cultured with CD4+ tumor cells showed significant IFN-gamma and TNF-alpha responses by intracellular cytokine staining (FIG. 2F). Thus, these data demonstrate a strong dose-dependent response of CART4 to CD4 expression. No killing was observed when CART4 cells were cultured with CD4 negative cells. Thus, these results indicate that CART4 cell ablation is specific for CD 4.
Example 3: CART4 cell specific killing CD4+ T tumor cells
To examine the function of CART4 on patient samples, PBMCs from ATLL patients were thawed and phenotyped. CD4 expression rates were 67.4% to 97.7% for all samples. Most cd4+ cells expressed a unique T cell receptor (TCR Vbeta) β chain, indicating clonal development of T cell leukemias 202-204 (fig. 3A). After 4 hours of co-culture of ATLL patient samples with CART4 cells, cd4+ malignancy was rapidly and clearly ablated as quantified by flow cytometry analysis. About 80% ablation was observed for all ATLL co-cultures, consistent with the ablation of the parent T cell line previously shown (fig. 3B). The study also used samples from six CTCL patients. Also, CART4 cells were observed to have strong cytotoxicity against freshly thawed primary CTCL cells, and after co-culture for 4 hours, malignant T cells were reduced by about 60% to 80% (fig. 3C). Thus, CART4 cells can effectively eliminate invasive cd4+ T malignancies isolated directly from patient samples. These results indicate that CD4 is a very promising therapeutic target for cd4+ T malignancies.
Example 4: CART4 cells effectively mediate internal anti-leukemic effects
To evaluate antitumor activity in vivo, the inventors developed a xenogenic mouse model using CEM-ss cell lines expressing Gaussia luciferase. First a single dose (4 x10 6 ) The CART4 cells of (c) tested the ability of CART4 cells to delay the appearance of NRG mouse leukemia. Flow cytometry analysis indicated that approximately 50% of cells prior to injection expressed anti-CD 4 CAR. Mice received retroorbital injection of CEM-ss cells. Four days after tumor implantation, leukemic mice were subjected to single dose retroorbital injection of CART4 cells or NTD cd8+ T cells (fig. 4A). Tumor burden was monitored by weekly measurement of luciferase activity in peripheral blood. The infused CART4 cells were effective in preventing leukemia progression (fig. 4B) and significantly prolonged median survival in mice (38 days for control, 60 days for CART4, p=0.026 by Mantel-Cox log rank test) (fig. 4C). Indeed, by flow cytometry analysis, egfp+ tumor progression was significantly delayed in spleen and bone marrow by endpoint (fig. 4D).
Although recurrent tumor cells retained CD4 expression, the expression level was reduced to about 40% MFI compared to the control group (fig. 4E). However, this down-regulation was insufficient to impair the ability of CART4 cells to eliminate recurrent tumors (fig. 4F). This result suggests that the primary cause of tumor recurrence is the lack of persistence of CAR-T cells, rather than antigen escape.
Example 5: method for developing GMP (good manufacturing practice) standard-compliant CAR-T cell production method
To assess the scalability of CAR-T cells and simplify CAR-T cell manufacturing, an optimized standard procedure was established using a gas-permeable static cell culture system (G-Rex) for CAR-T cell manufacturing (fig. 5A). The G-Rex system contains a layer of silicone film at the bottom of the plate. By gas exchange over the membrane (including O 2 And CO 2 ) The depth of the medium can be increased, providing more nutrients and diluting the waste. After activation and transduction of PBMC, 10X10 6 Individual cells were transferred to G-Rex six well plates for further culture. The cells were supplemented with cytokines IL-7 and IL-15 every two to three days. From the initial 2x10 cells 6 Amplified to more than 3x 10 8 And, by a factor of 150 within 15 days (fig. 5B). Next, the transduction efficiency of the final product after T cell expansion in the G-Rex system was determined. The final transduction efficiency of CART4 was 57.6% ± 7.1%, similar to cells generated in a conventional flask (53.7% ± 5.3%), as shown in fig. 5C. As expected, the endogenous cd4+ population in the final product was fully depleted, indicating that CAR-T cells have anti-CD 4 activity.
Interestingly, CAR-T cells generated in G-Rex exhibited a differentiation preference for the central memory phenotype. Evaluation of memory markers CD45RO and CD62L showed a higher proportion of CD45RO CD62L double positive cells (77% 7.1% vs 41% 5.5%) compared to cells cultured in conventional flasks (fig. 5D). CD45RO CD62L double positive cells are central memory T cells, thought to be necessary for long-term persistence in the body. Thus, this biological process optimization approach increases the ratio of cell yield and central memory phenotype while reducing the number of technician interventions and the cost of CAR-T manufacture.
Example 6: production of TCR vbeta7.1 specific CAR-T cells
T cell malignancies typically develop from a single type of monoclonal cancer cell that expresses a unique TCR. A variety of antibodies to the variable (V) region of the tcrp (vβ) chain have been provided in a direct conjugated polychromatic format, 22 of 25 vβ families can be assessed, covering 75% of the normal circulating T cell lineage. Thus, the inventors believe that TCR vβ is a potential target for CAR-T therapy against T cell malignancies. To develop TCR vβ targeting CAR-T (cartvb7.1) cells, the inventors cloned the scFv region of hybridoma cell 3G5 onto a CAR construct, which hybridoma cell was able to produce a monoclonal antibody against human TCR vβ 7.1 (Margret calam doctor from Andrew laboratories, oxford university), as shown in fig. 1A (2). Five days after CAR transduction, the endogenous TCR vβ7.1+ cell population was almost completely depleted, with about 1.2% of the cells remaining TCR vβ7.1 positive compared to CART20 control (fig. 6B). These data indicate that CAR-T cells have potent activity against TCR vβ7.1 during T cell expansion.
To further evaluate the function of cartvb7.1 cells, the inventors tested anti-tumor efficacy using tumor cells isolated from ATL patients diagnosed with tcrvβ7.1 positive tumors. In fact, after 6 hours of co-culture of ATL patient samples with cartvb7.1 cells, cd4+ malignancies were rapidly and unequivocally ablated by flow cytometry analysis of the quantified results. About 60% ablation was observed for all ATL co-cultures (fig. 6C, D). These results indicate that TCR vβ is a promising therapeutic target for T malignancy.
Example 7: development of CAR-MAIT cells
Currently, most CAR-T therapies utilize autologous conventional cd3+ T cells. However, immune cells of cancer patients may be hypofunctional or of a small number. In particular, the expansion and genetic engineering of PBMCs of T malignancy patients is risky because tumor cells can be engineered with CARs. Thus, there is a need to develop an immunotherapy that can produce third party allogeneic cells. Here, the inventors developed a two-step method to isolate mucosal-associated constant T cells (MAIT cells) from PBMCs by combining magnetic separation with flow cytometry sorting. The first step was to increase the percentage of MAIT cells from 0.74% to 33.3% after isolation based on TCR V.alpha.7.2 expression (FIG. 7A, B). The next step of flow sorting can further increase the MAIT purity to 95%. The sorted cells were activated with Dynabeads human T activator CD3/CD28 and expanded in the presence of cytokine mixtures (IL-2, IL-7 and IL-15). The amplification method achieved about 100-fold amplification in 12 to 14 days (fig. 7C). At harvest, 90.9% of the expanded cells maintained specificity for the MR1-5-OP-RU tetramer (FIG. 7D). In addition, amplified MAIT cells can be successfully CAR engineered by retroviral transduction (FIG. 7E). CAR-transduced MAIT (CAR-MAIT) cells had comparable cytotoxic capacity to conventional CAR-T cells (fig. 8).
Example 8: CAR-MAIT cells effectively mediate in-vivo anti-leukemia effects
To evaluate the in vivo antitumor function of CAR-MAIT cells, the inventors used a single dose (4 x10 6 ) Is tested for the ability of anti-CD 4 CAR-MAIT (CAR-MAIT 4) cells to delay progression of NRG mouse leukemia. Mice received intravenous CEM-ss cells. Four days after tumor implantation, leukemia mice were given single dose intravenous injection of CAR-MAIT4 cells or CART4 cells (fig. 14A). anti-CD 20 CAR-MAIT (CAR-MAIT-Ctrl) cells or anti-CD 20 CART (CART-Ctrl) cells were used as control groups. Tumor burden was monitored by weekly measurement of luciferase activity. The infused CAR-MAIT4 cells and CART4 cells were effective in preventing leukemia progression (FIGS. 14C and D) and significantly prolonged survival in tumor mice (FIG. 14B).
Example 9: detection, isolation, amplification and engineering of human MAIT cells
Human MAIT cells are detected, isolated, expanded, and engineered using the methods described herein.
As shown in fig. 11, human MAIT cells were analyzed by flow cytometry.
As shown in fig. 12, the MAIT cells were flow sorted.
The MAIT cells were then activated and transduced with a CAR-expressing vector to produce CAR-MAIT cells, which were then expanded, as shown in FIG. 13.
Example 10: by stimulating PMBC expansionIncreasing MAIT cells
MAIT cells are a subset of congenital T cells, defined as CD3+TCRVa7.2+CD161+ cells, recognizing the MHC class I molecule MR1. Previous studies have shown that MAIT cells can be expanded in vitro, but require the presence of allogeneic feeder cells. However, one problem with this approach is that it is difficult to mass produce and quality control. In this study, the inventors have now developed a very novel and effective method for expanding MAIT cells in vitro by first stimulating PBMC with antigen (5-OP-RU) loaded MR1 tetramer beads or with 5-OP-RU alone, in vitro culture in the presence of a combination of cytokines (IL-2, IL-7, IL-15, IL-12, IL-18 and IL-23) for up to 6 days. MAIT cells were then isolated by MACS or FACS sorting, followed by further expansion by anti-CD 3/CD28 beads for CAR-based treatment as described in the previous examples.
Materials and methods
PBMC isolation
PBMCs were isolated from buffy coats of healthy blood donors by Ficoll-Hypaque density gradient centrifugation. An aliquot of isolated PBMCs was frozen and stored in liquid nitrogen for later use. Before starting the experiment, frozen PBMC stock solutions were thawed and cultured at 37 ℃ in RPMI medium supplemented with 10% FBS.
Preparation of MR1/5-OP-RU composite beads
MR1/5-OP-RU tetramer coated beads were prepared by using M-280dynabeads and streptavidin (from ThermoFisher) and biotinylated MR1 monomer. MR1 monomer loaded with 5-OP-RU was offered by Jim McCluskey doctor (university of Meerce Australia) friends. The beads were reacted with 5-OP-RU loaded MR1 monomer (5 ug/3x10 7 Beads) were mixed by standing at 4℃for 12 hours on a shaking table. The excess unbound protein was removed by washing twice with PBS for 10 minutes. The prepared MR1 tetramer-coated beads were resuspended in PBS and stored at 4 ℃ for later use.
Enrichment of MAIT cells in PBMC
PBMC (per well)2x10 5 Individual cells) were cultured in 96-well plates containing R10 medium (90% rpmi+10% fbs+1% penicillin/streptomycin+2 mM L-glutamine) in 37 ℃ incubator, stimulated by MR1/5-OP-RU complex coated beads (1:1 ratio of beads to cells) or purified 5-OP-RU antigen (10 nM) (supplied by Jeffrey Mak doctor, university of kunsland australia) and bound to different cytokines in vitro for 6 days. Cytokines IL-2 (100 IU/ml) (Roche), IL-7 (50 ng/ml) (Miltenyi), IL-15 (50 ng/ml) (Miltenyi), IL-12 (50 ng/ml) (Miltenyi), IL-18 (50 ng/ml) (ThermoFisher) and IL-23 (50 ng/ml) (Miltenyi) were added in 15 different combinations, numbered 1 to 15, as shown in the table in FIG. 15. On day 6, the expanded cells were collected and analyzed, and the percentage of MAIT cells was determined by flow cytometry, as described below.
FACS analysis of MAIT cell frequency in PBMC
Amplified PBMCs were surface marker stained with antibodies in the dark for 30 minutes. FITC-conjugated CD3 (clone BW264/56, miltenyi), PE-conjugated Va7.2 (clone 3C10, biolegend), APC-conjugated CD161 (clone DX12, BD) were used to label cells at a ratio of 1:100. MAIT cells are defined as CD3+Va7.2+CD161+ cells. Using LIVE/DEAD TM Dead cells were excluded from the Fixable Aqua dead cell staining kit (ThermoFisher). The stained cells were washed with 5 to 10 volumes of PBS, centrifuged at 500 Xg for 5 minutes, then resuspended in 200. Mu.l PBS and analyzed by flow cytometry. Flow cytometry results were analyzed by FlowJo.
Results
FIG. 15 shows the results of enrichment of MAIT cells in PBMC. PBMC were stimulated by either (i) bead to cell ratio 1:1 MR1/5-OP-RU composite beads, or (ii) 10nM of 5-OP-RU antigen, in the presence of different cytokines (IL-2, IL-7, IL-15, IL-12, IL-18 and IL-23) for 6 days as shown in the table. For example, condition 1 corresponds to IL-2 alone, condition 2 corresponds to IL-7 and IL-15, condition 3 corresponds to IL-2, IL-12 and IL-18, and so on.
The fold increase in MAIT cells was calculated by dividing the frequency of viable MAIT (CD3+Va7.2+CD161+) cells on day 6 by the original frequency of MAIT cells on day 0. The first five groups are marked with orange colors (i.e., conditions 1, 3, 11, 12, and 13).
It can be seen that the cytokine combinations of 1, 13, 12, 3 and 11 gave the highest fold increase of MAIT cells in PBMC for the MR1/5-OP-RU composite beads (donor 1). For the MR1/5-OP-RU composite beads (donor 2), the cytokine combinations of 12, 13, 1, 11 and 3 gave the highest fold increase of MAIT cells in PBMC.
It can be seen that the cytokine combinations of 3, 1, 12, 13 and 11 gave the highest fold increase of MAIT cells in PBMC for 5-OP-RU (donor 1). For 5-OP-RU (donor 2), the cytokine combinations of 8, 13, 12, 11 and 3 gave the highest fold increase of MAIT cells in PBMC.
From these data, it is evident that different cytokines and combinations of cytokines (IL-2, IL-7, IL-15, IL-12, IL-18 and IL-23) produce different degrees of stimulation, thereby increasing the enrichment of MAIT cells in PBMC. Overall, the combination of IL-12, IL-18 and IL-23 maximizes the fold increase in MAIT cells in PBMC.
Discussion of the invention
MAIT cells are a subset of congenital T cells, defined as CD3+TCRVa7.2+CD161+ cells, recognizing the MHC class I molecule MR1. Previous studies have shown that MAIT cells can be expanded in vitro, but require the presence of allogeneic feeder cells. However, one problem with this approach is that it is difficult to mass produce and quality control. As described above, the inventors have now developed a surprisingly effective method for in vitro expansion of MAIT cells, wherein an in vitro culture is performed in the presence of a combination of three cytokines (IL-12, IL-18 and IL-23) for up to 6 days, either by first stimulating PBMC with antigen (5-OP-RU) loaded MR1 tetrameric beads or with 5-OP-RU alone. MAIT cells are then isolated by MACS or FACS sorting, followed by further expansion by anti-CD 3/CD28 beads for CAR-based therapy.
Currently, there is no mature treatment for T cell lymphoma compared to B cell malignancy, the only potential treatment regimen is allogeneic Hematopoietic Stem Cell Transplantation (HSCT), but this approach itself has significant treatment-related mortality. Since most (> 95%) T cell lymphomas are derived from dominant T cell clones expressing a specific T Cell Receptor (TCR) gene (i.e. clone TCR-Vb chain) and the pan-T helper cell marker CD4, monoclonal antibodies directed against these markers have been used to treat T cell lymphomas, some of which lead to regression of part of the lymphoma in small clinical trials (d' Amore et al, 2010;Hagberg et al, 2005; kim et al, 2007).
Although CAR-T is a very effective treatment for B-cell malignancies by targeting the pan B-cell marker CD19, this approach has encountered significant obstacles when applied to the treatment of T-cell lymphomas. First, unlike B cell depletion, persistent T cell dysgenesis, particularly cd4+ T cell depletion, can lead to severe toxicity, such as opportunistic infections observed during chronic HIV infection. Second, the impaired T cell function associated with T cell lymphomas and the reduced normal T cell count resulting from dominant growth of T cell tumors cannot be used to produce autologous CAR-T cells, and thus allogeneic CAR-T cells are needed to treat T cell lymphomas. Finally, most T cell lymphomas are solid tumors associated with lymph nodes and skin tissue, which are difficult to treat with conventional CAR-T due to the low tissue infiltration capacity and poor tumor microenvironment.
To solve these problems, the inventors devised a CD4 antigen (CART 4) -targeted CAR containing tgfr and iC9 as safety switches to selectively eliminate CART4 transduced T cells after eradicating tumor cells, thereby restoring autologous hematopoietic stem cells or allogeneic HSCT to normal cd4+ T cells. Depletion of cd4+ T cells has been demonstrated to be safe and tolerable in the treatment of autoimmune diseases with anti-CD 4 antibodies (Hagberg et al, 2005; kim et al, 2007). CART4 transduced human T cells were able to kill cd4+ T cell lymphoma cell lines isolated from ATLL or CTCL patients in vitro and inhibit tumor growth in vivo in a mouse xenograft model. More importantly, these CART4+ T cells co-expressed CARs with tgfr (detected by anti-EGFR antibodies) and iC9 (determined by CID drug-induced apoptosis of CART4+ T cells in vitro and in vivo). Expression of tgfr can be used to monitor CART4+ T cell proliferation or to eliminate CART4+ T cells in vivo with anti-EGFR antibodies.
In general, normal T cells consist of a highly diverse pool of TCRs to maintain cellular immunity against pathogen infection. TCRs consist of heterodimers of a and b chains containing an N-terminal variable region and a C-terminal constant region. The TCR-Vb region (chain) is more polymorphic than TCR-Va and is commonly used to analyze immune responses or the clonality of T cell malignancies. Currently, the TCR-Vb chain family has 22 specific mAbs covering 75% of the TCR pool. Since most T cell lymphomas are derived from a single T cell clone expressing the same TCR Vb chain, CART of TCR-Vb chain defined for tumor clones while retaining the remaining normal T cell pool would be an ideal method to minimize opportunistic infections and without removal of CART cells after transfusion.
As proof of concept for anti-TCR-Vb immunotherapy, the inventors designed CARs that specifically target the TCR-Vb7.1 chain (cartvb7.1), and as a result demonstrated that cartvb7.1 transduced T cells could effectively eliminate TCR-vb7.1 positive tumor cells isolated from ATL patients, indicating that anti-TCR-Vb CARs could provide an alternative immunotherapy for T cell lymphomas.
Finally, the inventors investigated whether MAIT cells can be effector cells for CAR-based therapies, as MAIT cells have several advantages over traditional T cells, including:
(1) Since a highly conserved constant TCR is expressed during mammalian evolution, alloreactivity is low (i.e. induction of graft versus host disease, GVHD);
(2) Regulatory functions, including inhibition of GVHD in a mouse model;
(3) Activation induces the killing activity of GrB, perforin and GrA; and
(4) Tissue homing, for example, is distributed across intestinal mucosa, skin and lungs.
As described herein, CAR-transduced MAIT cells (CAR-MAIT) exhibit anti-tumor activity at least comparable to conventional CAR-T cells in vitro and in vivo. In summary, the inventors developed a novel CAR-MAIT based immunotherapy that could effectively treat T cell malignancies, by targeting the pan-T cell marker CD4 with switchable CAR-T, reducing the targeting/de-tumor toxicity of cytokine release syndrome or specific TCR-Vb chain (which is specific for malignant T cells), thus avoiding global immunosuppression. More importantly, CAR-MAIT cells may have the potential to develop the allogeneic CAR-based therapies needed to treat T cell lymphomas. If production is continued, i.e., large-scale in vitro amplification, they can be used for ready-to-use development. The inventors believe that CAR-MAIT may provide an effective new method of treatment not only for T cell malignancies, but also for tumors of other non-immune cell types.
Conclusion(s)
T cell therapies based on Chimeric Antigen Receptors (CARs) have met with great success in the treatment of B cell malignancies by targeting pan B cell specific antigens. However, similar strategies for T cell lymphomas have not been achieved to date, mainly due to the potentially serious toxicity associated with overall T cell depletion and low normal T cell dysfunction/frequency in T lymphomas compared to B cell malignancies. To overcome these limitations, the inventors devised a variety of novel CAR constructs specific for the pan-T cell marker (CD 4) or TCR-Vb isotype chain, comprising two safety switches: truncated epidermal growth factor receptor (tgfr) and inducible caspase 9 (iC 9). The inventors investigated whether mucosal-associated constant T (MAIT) cells with low alloreactivity would exhibit similar anti-tumor killing activity to conventional T cells after transduction with CAR constructs.
Surprisingly, CAR transduced T cells not only exhibit specific killing effects on cd4+ T lymphoma cells or TCR-Vb specific T leukemia clones isolated from patients, but also are eliminated after treatment with inducers in vitro and in vivo. Furthermore, the inventors have also demonstrated for the first time that CAR-MAIT cells are able to inhibit tumor growth as effectively as conventional T cells in vitro and in vivo. The study provides a new strategy for the treatment of T cell lymphomas.
Thus, the mucosa-associated constant T (MAIT) cells of the invention are a class of immune cells which are involved in a wide range of infectious and non-infectious diseases and which have unusual specificity for microbial riboflavin derivative antigens presented by the histocompatibility complex (MHC) class I protein MR1, which have been developed into a novel immunotherapy for the treatment of cancer patients enabling them to specifically recognize and attack T lymphomas by genetic engineering of the MAIT cells with Chimeric Antigen Receptors (CARs).
Reference to the literature
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Attachment paper
1. A mucosal associated constant T (MAIT) cell expressing a Chimeric Antigen Receptor (CAR).
2. The MAIT cell of clause 1, wherein the CAR-MAIT cell expresses a CAR that targets a CD4 antigen on a T cell.
3. The MAIT cell of clause 2, wherein the CAR pair comprises a sequence substantially as set forth in SEQ ID No:1 or a variant or fragment thereof.
4. The MAIT cell according to any one of the preceding claims, wherein said CAR-MAIT cell expresses a CAR targeting the T Cell Receptor (TCR) β chain variable region (Vbeta) on T cells, preferably any one of the Vbeta regions as shown in table 1.
5. The MAIT cell of clause 4, wherein the CAR targets multiple T Cell Receptor (TCR) β chain variable regions (Vbeta) on the T cell, preferably wherein the multiple Vbeta regions are selected from the group of Vbeta regions shown in table 1, optionally wherein the multiple TCR Vbeta regions are the same or different Vbeta regions.
6. The MAIT cell of clause 4 or 5, wherein the CAR targets one or more TCR Vbeta regions on a T cell selected from the group consisting of: vb1, vb 2, vb 3, vb 5.1, vb 7.1, vb 8, vb 12, vb 13.1, vb17 and Vb 20.
7. The MAIT cell of any one of clauses 4-6, wherein the CAR pair comprises a polypeptide substantially as set forth in SEQ id no:2 or a variant or fragment thereof.
8. The MAIT cell of any one of the preceding claims, wherein the CAR-MAIT cell comprises one or more coding sequences that allow the CAR-MAIT cell to be controllably or inductively depleted.
9. The MAIT cell of clause 8, wherein the one or more coding sequences encode an Epidermal Growth Factor Receptor (EGFR) or a truncated epidermal growth factor receptor (tgfr).
10. The MAIT cell of clause 8 or 9, wherein the one or more coding sequences encode inducible caspase 9 (iC 9).
11. The MAIT cells according to any of the preceding claims, wherein said MAIT cells are isolated from human Peripheral Blood Mononuclear Cells (PBMCs) by Magnetic Activated Cell Sorting (MACS) and/or Fluorescence Activated Cell Sorting (FACS), more preferably both MACS and FACS.
12. A nucleic acid construct comprising a promoter operably linked to a first coding sequence encoding an anti-CD 4 Chimeric Antigen Receptor (CAR) or an anti-T Cell Receptor (TCR) Vbeta CAR.
13. The construct of clause 12, wherein the promoter is a PGK promoter, optionally the promoter comprises a nucleotide sequence substantially as set forth in SEQ ID No:3 or a fragment or variant thereof.
14. The construct of clause 12 or 13, wherein the first coding sequence encodes an anti-CD 4 Chimeric Antigen Receptor (CAR), optionally wherein the CAR pair comprises a sequence substantially as set forth in SEQ ID No:1 or a variant or fragment thereof.
15. The construct of clause 14, wherein:
(i) The first coding sequence comprises a sequence encoding a polypeptide substantially as set forth in SEQ ID No:6 or a fragment or variant thereof;
(ii) The first coding sequence comprises a sequence substantially as set forth in SEQ ID No:7 or a fragment or variant thereof;
(iii) The first coding sequence comprises a sequence encoding a polypeptide substantially as set forth in SEQ ID No:8 or a fragment or variant thereof; and/or
(iv) The first coding sequence comprises a sequence substantially as set forth in SEQ ID No:9 or a fragment or variant thereof.
16. The construct of clause 12 or 13, wherein the first coding sequence encodes an anti-T Cell Receptor (TCR) Vbeta region CAR, optionally any Vbeta region listed in table 1.
17. The construct of clause 16, wherein the first coding sequence encodes a plurality of T Cell Receptor (TCR) β chain variable regions (Vbeta) CARs, preferably wherein the plurality of Vbeta regions is selected from the group of Vbeta regions shown in table 1.
18. The construct of clause 16 or 17, wherein the construct comprises a coding sequence encoding at least one CAR that targets one or more Vbeta regions of a TCR on a T cell selected from the group consisting of: vb 1, vb 2, vb 3, vb 5.1, vb 7.1, vb 8, vb 12, vb 13.1, vb 17 and Vb 20; optionally wherein the construct comprises a coding sequence encoding at least one CAR that targets at least two or three Vbeta regions of a TCR on a T cell selected from the group consisting of: vb 1, vb 2, vb 3, vb 5.1, vb 7.1, vb 8, vb 12, vb 13.1, vb 17 and Vb 20.
19. The construct of any one of clauses 16 to 18, wherein the CAR pair comprises a sequence substantially as set forth in SEQ ID No:2 or a variant or fragment thereof (preferably a TCR-Vbeta 7.1 chain).
20. The construct of any one of clauses 16 to 19, wherein:
(i) The first coding sequence comprises a sequence encoding a polypeptide substantially as set forth in SEQ ID No:12 or a fragment or variant thereof;
(ii) The first coding sequence comprises a sequence substantially as set forth in SEQ ID No:13 or a fragment or variant thereof;
(iii) The first coding sequence comprises a sequence encoding a polypeptide substantially as set forth in SEQ ID No:34 or a fragment or variant thereof; and/or
(iv) The first coding sequence comprises a sequence substantially as set forth in SEQ ID No:35 or a fragment or variant thereof.
21. The construct of any one of clauses 12 to 20, wherein the construct comprises a nucleotide sequence encoding a CD8a hinge and Transmembrane (TM) domain, optionally wherein the construct comprises a nucleotide sequence encoding a sequence substantially as set forth in SEQ ID No:14 or a fragment or variant thereof, and/or wherein the construct comprises a nucleotide sequence substantially as set forth in SEQ id no:15 or a fragment or variant thereof.
22. The construct according to any one of clauses 12 to 21, wherein the construct comprises a nucleotide sequence encoding an intracellular domain comprising the signaling domain of CD28, the signaling domain of 4-1BB and/or the CD3 zeta chain, wherein the signaling domain of CD28, the signaling domain of 4-1BB and the CD3 zeta chain are more preferred.
23. The construct of clause 22, wherein:
(i) The construct comprises a nucleic acid sequence encoding a polypeptide substantially as set forth in SEQ ID No:16 or a fragment or variant thereof;
(ii) The construct comprises a sequence substantially as set forth in SEQ ID No:17 or a fragment or variant thereof;
(iii) The construct comprises a nucleic acid sequence encoding a polypeptide substantially as set forth in SEQ ID No:18 or a fragment or variant thereof;
(iv) The construct comprises a sequence substantially as set forth in SEQ ID No:19 or a fragment or variant thereof;
(v) The construct comprises a nucleic acid sequence encoding a polypeptide substantially as set forth in SEQ ID No:20 or a fragment or variant thereof; and/or
(vi) The construct comprises a sequence substantially as set forth in SEQ ID No:21 or a fragment or variant thereof.
24. The construct according to any one of clauses 12 to 23, wherein the nucleic acid construct comprises a second coding sequence encoding at least one suicide protein, more preferably at least two suicide proteins.
25. The construct of clause 24, wherein the second coding sequence encodes: (i) An Epidermal Growth Factor Receptor (EGFR) or truncated epidermal growth factor receptor (tgfr); and/or (ii) inducible caspase 9 (iC 9).
26. The construct of clause 25, wherein:
(i) The construct comprises a nucleic acid sequence encoding a polypeptide substantially as set forth in SEQ ID No:22 or a fragment or variant thereof, optionally wherein the construct comprises a nucleotide sequence substantially as set forth in SEQ ID No:23 or a fragment or variant thereof; and/or
(ii) The construct comprises a nucleic acid sequence encoding a polypeptide substantially as set forth in SEQ ID No:24 or a fragment or variant thereof, optionally wherein the construct comprises a nucleotide sequence substantially as set forth in SEQ ID No:25 or a fragment or variant thereof.
27. The construct of any one of clauses 12 to 26, wherein the construct comprises a sequence encoding a polypeptide substantially as set forth in SEQ id no:29 or a fragment or variant thereof, optionally wherein the construct comprises a nucleotide sequence substantially as set forth in SEQ ID No:30 or a fragment or variant thereof.
28. The construct of any one of clauses 12 to 26, wherein the construct comprises a sequence encoding a polypeptide substantially as set forth in SEQ id no:31 or a fragment or variant thereof, optionally wherein the construct comprises a nucleotide sequence substantially as set forth in SEQ ID No:32 or a fragment or variant thereof.
29. An expression vector encoding the nucleic acid construct according to any one of clauses 12 to 28, optionally wherein the vector comprises a sequence substantially as set forth in SEQ ID No:33 or SEQ ID No:36 or a fragment or variant thereof.
30. A method of isolating a MAIT cell, the method comprising:
(i) Providing Peripheral Blood Mononuclear Cells (PBMCs); and
(ii) The PBMCs are subjected to Magnetic Activated Cell Sorting (MACS) and/or Fluorescent Activated Cell Sorting (FACS) to separate the MAIT cells therefrom.
31. A method of producing a CAR-MAIT cell, the method comprising:
(i) Providing Peripheral Blood Mononuclear Cells (PBMCs);
(ii) MACS and/or FACS are performed on PBMCs to isolate MAIT cells therefrom;
(iii) Activating the isolated MAIT cells, optionally by contacting them with an anti-CD 3 and/or anti-CD 28 antibody; and
(iv) Transduction of activated MAIT cells with nucleic acid encoding a CAR, thereby producing CAR-MAIT cells.
32. The method of clause 30 or 31, wherein the method comprises MACS and FACS of PBMCs to isolate the MAIT cells therefrom, optionally wherein the PBMCs are MACS followed by FACS.
33. The method of any one of clauses 30 to 32, wherein the isolated MAIT cells are activated with an anti-CD 3 antibody and an anti-CD 28 antibody.
34. The method of any one of clauses 31 to 33, wherein step (iv) comprises transducing a MAIT cell with a nucleic acid encoding a CAR by a virus or retrovirus, preferably wherein the nucleic acid encodes a CAR that targets (i) a CD4 antigen, or (ii) at least one or more TCR Vbeta regions on a T cell, preferably one or more TCR Vbeta regions shown in table 1, or one or more TCR Vbeta regions on a T cell selected from the group consisting of: vb 1, vb 2, vb 3, vb 5.1, vb 7.1, vb 8, vb 12, vb 13.1, vb 17 and Vb 20.
35. The method of any one of clauses 30 to 43, wherein the MAIT cells are transduced with the nucleic acid construct of any one of clauses 12 to 28 or the expression vector of clause 29.
36. The method of any one of clauses 30 to 35, wherein the method comprises expanding CAR-MAIT cells in a subsequent step after step (iv).
37. A CAR-MAIT cell obtained or obtainable by the method according to any one of items 30 to 36.
38. A pharmaceutical composition comprising the MAIT cells of any one of clauses 1-11 or clause 37 and a pharmaceutically acceptable excipient.
39. The MAIT cell according to any one of clauses 1 to 11 or 37 or the pharmaceutical composition according to clause 38 for use in therapy.
40. The MAIT cell according to any one of clauses 1 to 11 or 37 or the pharmaceutical composition according to clause 38 for use in (i) immunotherapy; (ii) treating, preventing or ameliorating cancer; (ii) treating, preventing or ameliorating a microbial infection; or (iv) treating, preventing or ameliorating an autoimmune disease.
41. The MAIT cell according to any one of clauses 1 to 11 or 37 or the pharmaceutical composition according to clause 38 for use according to clause 39 or 40, wherein for the treatment, prevention or amelioration of a T cell malignancy, optionally a solid tumor or a liquid tumor.
42. The MAIT cell according to any one of clauses 1 to 11 or 37 or the pharmaceutical composition according to clause 38 for the use according to clause 41, wherein the T cell malignancy is Peripheral T Cell Lymphoma (PTCL) or Cutaneous T Cell Lymphoma (CTCL).
43. The use of the MAIT cell of any one of clauses 1 to 11 or 37 or the pharmaceutical composition of clause 38 for the use of clause 41, wherein:
(i) The PTCL is a PTCL subtype selected from the group consisting of: adult T cell acute lymphocytic lymphoma or leukemia (ATL), enteropathy-associated lymphoma, hepatosplenic lymphoma, subcutaneous lipoteichthy lymphoma (SPTCL), precursor T cell acute lymphocytic lymphoma or leukemia, and angioimmunoblastic T cell lymphoma (AITL);
(ii) The CTCL is a CTCL subtype selected from the group consisting of: mycosis Fungoides (MF), sezary Syndrome (SS), and cd4+ small and medium polymorphic T cell lymphoproliferative diseases.
44. The use of the MAIT cells of any one of clauses 1 to 11 or 37 or the pharmaceutical composition of clause 38 for any one of clauses 40 to 43, wherein for treating, preventing or ameliorating a viral infection (e.g., HIV, HBV, HTLV, EBV, HPV), a bacterial infection (e.g., TB), or a fungal infection, or for treating, preventing or ameliorating an autoimmune disease, such as systemic lupus erythematosus, rheumatoid arthritis, or myasthenia gravis.
45. The use of the MAIT cell of any one of clauses 1 to 11 or 37 or the pharmaceutical composition of clause 38 for any one of clauses 40 to 44, wherein the use comprises triggering a sequence encoding a suicide protein, optionally wherein the method comprises administering an anti-EGFR antibody and/or a caspase-inducing drug (CID) to the subject.
46. A method of preparing the pharmaceutical composition of clause 38, comprising combining a therapeutically effective amount of the MAIT cells of any one of clauses 1-1 or clause 37 with a pharmaceutically acceptable excipient.
Sequence listing
<110> Imperial academy of technology Co., ltd
<120> chimeric antigen receptor T cells
<130> 100915PCT1
<150> 2105682.5
<151> 2021-04-21
<160> 36
<170> PatentIn version 3.5
<210> 1
<211> 458
<212> PRT
<213> Homo sapiens
<400> 1
Met Asn Arg Gly Val Pro Phe Arg His Leu Leu Leu Val Leu Gln Leu
1 5 10 15
Ala Leu Leu Pro Ala Ala Thr Gln Gly Lys Lys Val Val Leu Gly Lys
20 25 30
Lys Gly Asp Thr Val Glu Leu Thr Cys Thr Ala Ser Gln Lys Lys Ser
35 40 45
Ile Gln Phe His Trp Lys Asn Ser Asn Gln Ile Lys Ile Leu Gly Asn
50 55 60
Gln Gly Ser Phe Leu Thr Lys Gly Pro Ser Lys Leu Asn Asp Arg Ala
65 70 75 80
Asp Ser Arg Arg Ser Leu Trp Asp Gln Gly Asn Phe Pro Leu Ile Ile
85 90 95
Lys Asn Leu Lys Ile Glu Asp Ser Asp Thr Tyr Ile Cys Glu Val Glu
100 105 110
Asp Gln Lys Glu Glu Val Gln Leu Leu Val Phe Gly Leu Thr Ala Asn
115 120 125
Ser Asp Thr His Leu Leu Gln Gly Gln Ser Leu Thr Leu Thr Leu Glu
130 135 140
Ser Pro Pro Gly Ser Ser Pro Ser Val Gln Cys Arg Ser Pro Arg Gly
145 150 155 160
Lys Asn Ile Gln Gly Gly Lys Thr Leu Ser Val Ser Gln Leu Glu Leu
165 170 175
Gln Asp Ser Gly Thr Trp Thr Cys Thr Val Leu Gln Asn Gln Lys Lys
180 185 190
Val Glu Phe Lys Ile Asp Ile Val Val Leu Ala Phe Gln Lys Ala Ser
195 200 205
Ser Ile Val Tyr Lys Lys Glu Gly Glu Gln Val Glu Phe Ser Phe Pro
210 215 220
Leu Ala Phe Thr Val Glu Lys Leu Thr Gly Ser Gly Glu Leu Trp Trp
225 230 235 240
Gln Ala Glu Arg Ala Ser Ser Ser Lys Ser Trp Ile Thr Phe Asp Leu
245 250 255
Lys Asn Lys Glu Val Ser Val Lys Arg Val Thr Gln Asp Pro Lys Leu
260 265 270
Gln Met Gly Lys Lys Leu Pro Leu His Leu Thr Leu Pro Gln Ala Leu
275 280 285
Pro Gln Tyr Ala Gly Ser Gly Asn Leu Thr Leu Ala Leu Glu Ala Lys
290 295 300
Thr Gly Lys Leu His Gln Glu Val Asn Leu Val Val Met Arg Ala Thr
305 310 315 320
Gln Leu Gln Lys Asn Leu Thr Cys Glu Val Trp Gly Pro Thr Ser Pro
325 330 335
Lys Leu Met Leu Ser Leu Lys Leu Glu Asn Lys Glu Ala Lys Val Ser
340 345 350
Lys Arg Glu Lys Ala Val Trp Val Leu Asn Pro Glu Ala Gly Met Trp
355 360 365
Gln Cys Leu Leu Ser Asp Ser Gly Gln Val Leu Leu Glu Ser Asn Ile
370 375 380
Lys Val Leu Pro Thr Trp Ser Thr Pro Val Gln Pro Met Ala Leu Ile
385 390 395 400
Val Leu Gly Gly Val Ala Gly Leu Leu Leu Phe Ile Gly Leu Gly Ile
405 410 415
Phe Phe Cys Val Arg Cys Arg His Arg Arg Arg Gln Ala Glu Arg Met
420 425 430
Ser Gln Ile Lys Arg Leu Leu Ser Glu Lys Lys Thr Cys Gln Cys Pro
435 440 445
His Arg Phe Gln Lys Thr Cys Ser Pro Ile
450 455
<210> 2
<211> 114
<212> PRT
<213> Homo sapiens
<400> 2
Met Gly Cys Arg Leu Leu Cys Cys Ala Val Leu Cys Leu Leu Gly Ala
1 5 10 15
Val Pro Ile Asp Thr Glu Val Thr Gln Thr Pro Lys His Leu Val Met
20 25 30
Gly Met Thr Asn Lys Lys Ser Leu Lys Cys Glu Gln His Met Gly His
35 40 45
Arg Ala Met Tyr Trp Tyr Lys Gln Lys Ala Lys Lys Pro Pro Glu Leu
50 55 60
Met Phe Val Tyr Ser Tyr Glu Lys Leu Ser Ile Asn Glu Ser Val Pro
65 70 75 80
Ser Arg Phe Ser Pro Glu Cys Pro Asn Ser Ser Leu Leu Asn Leu His
85 90 95
Leu His Ala Leu Gln Pro Glu Asp Ser Ala Leu Tyr Leu Cys Ala Ser
100 105 110
Ser Gln
<210> 3
<211> 501
<212> DNA
<213> Artificial Sequence
<220>
<223> PGK promoter
<400> 3
gggtagggga ggcgcttttc ccaaggcagt ctggagcatg cgctttagca gccccgctgg 60
gcacttggcg ctacacaagt ggcctctggc ctcgcacaca ttccacatcc accggtaggc 120
gccaaccggc tccgttcttt ggtggcccct tcgcgccacc ttctactcct cccctagtca 180
ggaagttccc ccccgccccg cagctcgcgt cgtgcaggac gtgacaaatg gaagtagcac 240
gtctcactag tctcgtgcag atggacagca ccgctgagca atggaagcgg gtaggccttt 300
ggggcagcgg ccaatagcag ctttgctcct tcgctttctg ggctcagagg ctgggaaggg 360
gtgggtccgg gggcgggctc aggggcgggc tcaggggcgg ggcgggcgcc cgaaggtcct 420
ccggaggccc ggcattctgc acgcttcaaa agcgcacgtc tgccgcgctg ttctcctctt 480
cctcattctc cgggcctttc g 501
<210> 4
<211> 21
<212> PRT
<213> Artificial Sequence
<220>
<223> Signalling peptide
<400> 4
Met Glu Thr Asp Thr Leu Leu Leu Trp Val Leu Leu Leu Trp Val Pro
1 5 10 15
Gly Ser Thr Gly Asp
20
<210> 5
<211> 63
<212> DNA
<213> Artificial Sequence
<220>
<223> Signalling peptide
<400> 5
atggagacag acacactcct gctatgggtg ctgctgctct gggttccagg ttccacaggt 60
gac 63
<210> 6
<211> 112
<212> PRT
<213> Artificial Sequence
<220>
<223> First coding sequence (VL for CD4)
<400> 6
Asp Ile Val Met Thr Gln Ser Pro Asp Ser Leu Ala Val Ser Leu Gly
1 5 10 15
Glu Arg Val Thr Met Asn Cys Lys Ser Ser Gln Ser Leu Leu Tyr Ser
20 25 30
Thr Asn Gln Lys Asn Tyr Leu Ala Trp Tyr Gln Gln Lys Pro Gly Gln
35 40 45
Ser Pro Lys Leu Leu Ile Tyr Trp Ala Ser Thr Arg Glu Ser Gly Val
50 55 60
Pro Asp Arg Phe Ser Gly Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr
65 70 75 80
Ile Ser Ser Val Gln Ala Glu Asp Val Ala Val Tyr Tyr Cys Gln Gln
85 90 95
Tyr Tyr Ser Tyr Arg Thr Phe Gly Gly Gly Thr Lys Leu Glu Ile Lys
100 105 110
<210> 7
<211> 336
<212> DNA
<213> Artificial Sequence
<220>
<223> First coding sequence (VL for CD4)
<400> 7
gacattgtga tgactcagag ccccgacagc ctggccgtct cactgggcga aagggtgacc 60
atgaattgta aatcttctca gagcctgctg tacagtacaa accagaaaaa ttacctggcc 120
tggtatcagc agaaacccgg ccagagccct aagctgctga tctattgggc aagtacccga 180
gagtcaggag tgccagacag attctccggg tctggaagtg gcacagactt caccctgaca 240
attagctccg tgcaggccga ggacgtggct gtctactatt gccagcagta ctatagctac 300
cgaactttcg gcgggggaac caaactggaa atcaag 336
<210> 8
<211> 122
<212> PRT
<213> Artificial Sequence
<220>
<223> First coding sequence (VH for CD4)
<400> 8
Gln Val Gln Leu Gln Gln Ser Gly Pro Glu Val Val Lys Pro Gly Ala
1 5 10 15
Ser Val Lys Met Ser Cys Lys Ala Ser Gly Tyr Thr Phe Thr Ser Tyr
20 25 30
Val Ile His Trp Val Arg Gln Lys Pro Gly Gln Gly Leu Asp Trp Ile
35 40 45
Gly Tyr Ile Asn Pro Tyr Asn Asp Gly Thr Asp Tyr Asp Glu Lys Phe
50 55 60
Lys Gly Lys Ala Thr Leu Thr Ser Asp Thr Ser Thr Ser Thr Ala Tyr
65 70 75 80
Met Glu Leu Ser Ser Leu Arg Ser Glu Asp Thr Ala Val Tyr Tyr Cys
85 90 95
Ala Arg Glu Lys Asp Asn Tyr Ala Thr Gly Ala Trp Phe Ala Tyr Trp
100 105 110
Gly Gln Gly Thr Leu Val Thr Val Ser Ser
115 120
<210> 9
<211> 366
<212> DNA
<213> Artificial Sequence
<220>
<223> First coding sequence (VH for CD4)
<400> 9
caggtgcagc tgcagcagtc cggaccagag gtggtcaaac ccggcgctag cgtcaaaatg 60
tcctgtaagg catctggcta cactttcacc tcttatgtga ttcactgggt cagacagaag 120
cctgggcagg gactggactg gatcgggtac attaacccat ataatgatgg aactgactac 180
gatgaaaagt ttaaaggcaa ggccacactg acttccgaca cctcaacaag cactgcttat 240
atggagctgt ctagtctgag gtctgaagac acagcagtgt actattgcgc ccgcgagaag 300
gataactacg ccactggcgc ttggtttgca tattggggcc aggggaccct ggtgacagtc 360
tcatcc 366
<210> 10
<211> 15
<212> PRT
<213> Artificial Sequence
<220>
<223> G4S linker sequence
<400> 10
Gly Gly Gly Gly Ser Gly Gly Gly Gly Ser Gly Gly Gly Gly Ser
1 5 10 15
<210> 11
<211> 44
<212> DNA
<213> Artificial Sequence
<220>
<223> G4S linker sequence
<400> 11
gaggaggagg cagtggcgga ggagggtcag gaggaggagg aagc 44
<210> 12
<211> 119
<212> PRT
<213> Artificial Sequence
<220>
<223> First coding sequence (VL for TCR V-beta)
<400> 12
Gln Val Gln Leu Gln Gln Pro Gly Ala Glu Leu Val Lys Pro Gly Ala
1 5 10 15
Ser Val Lys Met Ser Cys Lys Ala Ser Gly Tyr Thr Phe Thr Arg Tyr
20 25 30
Trp Ile Thr Trp Val Lys Gln Arg Pro Gly Gln Gly Leu Glu Trp Ile
35 40 45
Gly Asp Ile Tyr Pro Gly Ser Gly Phe Thr Lys Tyr Asn Glu Lys Phe
50 55 60
Lys Ser Lys Ala Thr Leu Thr Val Asp Thr Ser Ser Ser Thr Ala Tyr
65 70 75 80
Met Gln Leu Ser Ser Leu Thr Ser Glu Asp Ser Ala Val Tyr Tyr Cys
85 90 95
Ala Arg Glu Gly Gly Asn Tyr Trp Tyr Phe Asp Val Trp Gly Thr Gly
100 105 110
Thr Thr Val Thr Val Ser Ser
115
<210> 13
<211> 357
<212> DNA
<213> Artificial Sequence
<220>
<223> First coding sequence (VL for TCR V-beta)
<400> 13
caagttcagc tgcaacagcc tggcgccgag cttgtgaaac ctggcgcctc tgtgaagatg 60
agctgcaagg cctccggcta caccttcacc agatactgga tcacctgggt caagcagagg 120
cctggacagg gactcgagtg gatcggcgat atctatcctg gctccggctt caccaagtac 180
aacgagaagt tcaagagcaa ggccacactg accgtggaca ccagcagcag cacagcctac 240
atgcagctgt ctagcctgac cagcgaggac agcgccgtgt actactgtgc tagagaaggc 300
ggcaactact ggtacttcga cgtgtggggc accggcacca cagtgacagt tagttct 357
<210> 14
<211> 83
<212> PRT
<213> Artificial Sequence
<220>
<223> CD8a hinge and transmembrane domain
<400> 14
Phe Val Pro Val Phe Leu Pro Ala Lys Pro Thr Thr Thr Pro Ala Pro
1 5 10 15
Arg Pro Pro Thr Pro Ala Pro Thr Ile Ala Ser Gln Pro Leu Ser Leu
20 25 30
Arg Pro Glu Ala Cys Arg Pro Ala Ala Gly Gly Ala Val His Thr Arg
35 40 45
Gly Leu Asp Phe Ala Cys Asp Ile Tyr Ile Trp Ala Pro Leu Ala Gly
50 55 60
Thr Cys Gly Val Leu Leu Leu Ser Leu Val Ile Thr Leu Tyr Cys Asn
65 70 75 80
His Arg Asn
<210> 15
<211> 249
<212> DNA
<213> Artificial Sequence
<220>
<223> CD8a hinge and transmembrane domain
<400> 15
ttcgtgccgg tcttcctgcc agcgaagccc accacgacgc cagcgccgcg accaccaaca 60
ccggcgccca ccatcgcgtc gcagcccctg tccctgcgcc cagaggcgtg ccggccagcg 120
gcggggggcg cagtgcacac gagggggctg gacttcgcct gtgatatcta catctgggcg 180
cccttggccg ggacttgtgg ggtccttctc ctgtcactgg ttatcaccct ttactgcaac 240
cacaggaac 249
<210> 16
<211> 41
<212> PRT
<213> Artificial Sequence
<220>
<223> CD28 signalling domain
<400> 16
Arg Ser Lys Arg Ser Arg Leu Leu His Ser Asp Tyr Met Asn Met Thr
1 5 10 15
Pro Arg Arg Pro Gly Pro Thr Arg Lys His Tyr Gln Pro Tyr Ala Pro
20 25 30
Pro Arg Asp Phe Ala Ala Tyr Arg Ser
35 40
<210> 17
<211> 123
<212> DNA
<213> Artificial Sequence
<220>
<223> CD28 signalling domain
<400> 17
aggagtaaga ggagcaggct cctgcacagt gactacatga acatgactcc ccgccgcccc 60
gggcccaccc gcaagcatta ccagccctat gccccaccac gcgacttcgc agcctatcgc 120
tcc 123
<210> 18
<211> 47
<212> PRT
<213> Artificial Sequence
<220>
<223> 4-1BB signalling domain
<400> 18
Arg Phe Ser Val Val Lys Arg Gly Arg Lys Lys Leu Leu Tyr Ile Phe
1 5 10 15
Lys Gln Pro Phe Met Arg Pro Val Gln Thr Thr Gln Glu Glu Asp Gly
20 25 30
Cys Ser Cys Arg Phe Pro Glu Glu Glu Glu Gly Gly Cys Glu Leu
35 40 45
<210> 19
<211> 141
<212> DNA
<213> Artificial Sequence
<220>
<223> 4-1BB signalling domain
<400> 19
cgtttctctg ttgttaaacg gggcagaaag aagctcctgt atatattcaa acaaccattt 60
atgagaccag tacaaactac tcaagaggaa gatggctgta gctgccgatt tccagaagaa 120
gaagaaggag gatgtgaact g 141
<210> 20
<211> 112
<212> PRT
<213> Artificial Sequence
<220>
<223> CD3zeta chain
<400> 20
Arg Val Lys Phe Ser Arg Ser Ala Asp Ala Pro Ala Tyr Gln Gln Gly
1 5 10 15
Gln Asn Gln Leu Tyr Asn Glu Leu Asn Leu Gly Arg Arg Glu Glu Tyr
20 25 30
Asp Val Leu Asp Lys Arg Arg Gly Arg Asp Pro Glu Met Gly Gly Lys
35 40 45
Pro Arg Arg Lys Asn Pro Gln Glu Gly Leu Tyr Asn Glu Leu Gln Lys
50 55 60
Asp Lys Met Ala Glu Ala Tyr Ser Glu Ile Gly Met Lys Gly Glu Arg
65 70 75 80
Arg Arg Gly Lys Gly His Asp Gly Leu Tyr Gln Gly Leu Ser Thr Ala
85 90 95
Thr Lys Asp Thr Tyr Asp Ala Leu His Met Gln Ala Leu Pro Pro Arg
100 105 110
<210> 21
<211> 336
<212> DNA
<213> Artificial Sequence
<220>
<223> CD3zeta chain
<400> 21
agagtgaagt tcagcaggag cgcagacgcc cccgcgtacc agcagggcca gaaccagctc 60
tataacgagc tcaatctagg acgaagagag gagtacgatg ttttggacaa gagacgtggc 120
cgggaccctg agatgggggg aaagccgaga aggaagaacc ctcaggaagg cctgtacaat 180
gaactgcaga aagataagat ggcggaggcc tacagtgaga ttgggatgaa aggcgagcgc 240
cggaggggca aggggcacga tggcctttac cagggtctca gtacagccac caaggacacc 300
tacgacgccc ttcacatgca ggccctgccc cctcgc 336
<210> 22
<211> 357
<212> PRT
<213> Artificial Sequence
<220>
<223> Truncated EGFR
<400> 22
Met Leu Leu Leu Val Thr Ser Leu Leu Leu Cys Glu Leu Pro His Pro
1 5 10 15
Ala Phe Leu Leu Ile Pro Arg Lys Val Cys Asn Gly Ile Gly Ile Gly
20 25 30
Glu Phe Lys Asp Ser Leu Ser Ile Asn Ala Thr Asn Ile Lys His Phe
35 40 45
Lys Asn Cys Thr Ser Ile Ser Gly Asp Leu His Ile Leu Pro Val Ala
50 55 60
Phe Arg Gly Asp Ser Phe Thr His Thr Pro Pro Leu Asp Pro Gln Glu
65 70 75 80
Leu Asp Ile Leu Lys Thr Val Lys Glu Ile Thr Gly Phe Leu Leu Ile
85 90 95
Gln Ala Trp Pro Glu Asn Arg Thr Asp Leu His Ala Phe Glu Asn Leu
100 105 110
Glu Ile Ile Arg Gly Arg Thr Lys Gln His Gly Gln Phe Ser Leu Ala
115 120 125
Val Val Ser Leu Asn Ile Thr Ser Leu Gly Leu Arg Ser Leu Lys Glu
130 135 140
Ile Ser Asp Gly Asp Val Ile Ile Ser Gly Asn Lys Asn Leu Cys Tyr
145 150 155 160
Ala Asn Thr Ile Asn Trp Lys Lys Leu Phe Gly Thr Ser Gly Gln Lys
165 170 175
Thr Lys Ile Ile Ser Asn Arg Gly Glu Asn Ser Cys Lys Ala Thr Gly
180 185 190
Gln Val Cys His Ala Leu Cys Ser Pro Glu Gly Cys Trp Gly Pro Glu
195 200 205
Pro Arg Asp Cys Val Ser Cys Arg Asn Val Ser Arg Gly Arg Glu Cys
210 215 220
Val Asp Lys Cys Asn Leu Leu Glu Gly Glu Pro Arg Glu Phe Val Glu
225 230 235 240
Asn Ser Glu Cys Ile Gln Cys His Pro Glu Cys Leu Pro Gln Ala Met
245 250 255
Asn Ile Thr Cys Thr Gly Arg Gly Pro Asp Asn Cys Ile Gln Cys Ala
260 265 270
His Tyr Ile Asp Gly Pro His Cys Val Lys Thr Cys Pro Ala Gly Val
275 280 285
Met Gly Glu Asn Asn Thr Leu Val Trp Lys Tyr Ala Asp Ala Gly His
290 295 300
Val Cys His Leu Cys His Pro Asn Cys Thr Tyr Gly Cys Thr Gly Pro
305 310 315 320
Gly Leu Glu Gly Cys Pro Thr Asn Gly Pro Lys Ile Pro Ser Ile Ala
325 330 335
Thr Gly Met Val Gly Ala Leu Leu Leu Leu Leu Val Val Ala Leu Gly
340 345 350
Ile Gly Leu Phe Met
355
<210> 23
<211> 1071
<212> DNA
<213> Artificial Sequence
<220>
<223> Truncated EGFR
<400> 23
atgcttctcc tggtgacaag ccttctgctc tgtgagttac cacacccagc attcctcctg 60
atcccacgca aagtgtgtaa cggaataggt attggtgaat ttaaagactc actctccata 120
aatgctacga atattaaaca cttcaaaaac tgcacctcca tcagtggcga tctccacatc 180
ctgccggtgg catttagggg tgactccttc acacatactc ctcctctgga tccacaggaa 240
ctggatattc tgaaaaccgt aaaggaaatc acagggtttt tgctgattca ggcttggcct 300
gaaaacagga cggacctcca tgcctttgag aacctagaaa tcatacgcgg caggaccaag 360
caacatggtc agttttctct tgcagtcgtc agcctgaaca taacatcctt gggattacgc 420
tccctcaagg agataagtga tggagatgtg ataatttcag gaaacaaaaa tttgtgctat 480
gcaaatacaa taaactggaa aaaactgttt gggacctccg gtcagaaaac caaaattata 540
agcaacagag gtgaaaacag ctgcaaggcc acaggccagg tctgccatgc cttgtgctcc 600
cccgagggct gctggggccc ggaacccagg gactgcgtct cttgccggaa tgtcagccga 660
ggcagggaat gcgtggacaa gtgcaacctt ctggagggtg agccaaggga gtttgtggag 720
aactctgagt gcatacagtg ccacccagag tgcctgcctc aggccatgaa catcacctgc 780
acaggacggg gaccagacaa ctgtatccag tgtgcccact acattgacgg cccccactgc 840
gtcaagacct gcccggcagg agtcatggga gaaaacaaca ccctggtctg gaagtacgca 900
gacgccggcc atgtgtgcca cctgtgccat ccaaactgca cctacggatg cactgggcca 960
ggtcttgaag gctgtccaac gaatgggcct aagatcccgt ccatcgccac tgggatggtg 1020
ggggccctcc tcttgctgct ggtggtggcc ctggggatcg gcctcttcat g 1071
<210> 24
<211> 413
<212> PRT
<213> Artificial Sequence
<220>
<223> Inducible caspase-9 (iC9)
<400> 24
Met Leu Glu Gly Val Gln Val Glu Thr Ile Ser Pro Gly Asp Gly Arg
1 5 10 15
Thr Phe Pro Lys Arg Gly Gln Thr Cys Val Val His Tyr Thr Gly Met
20 25 30
Leu Glu Asp Gly Lys Lys Val Asp Ser Ser Arg Asp Arg Asn Lys Pro
35 40 45
Phe Lys Phe Met Leu Gly Lys Gln Glu Val Ile Arg Gly Trp Glu Glu
50 55 60
Gly Val Ala Gln Met Ser Val Gly Gln Arg Ala Lys Leu Thr Ile Ser
65 70 75 80
Pro Asp Tyr Ala Tyr Gly Ala Thr Gly His Pro Gly Ile Ile Pro Pro
85 90 95
His Ala Thr Leu Val Phe Asp Val Glu Leu Leu Lys Leu Glu Ser Gly
100 105 110
Gly Gly Ser Gly Val Asp Gly Phe Gly Asp Val Gly Ala Leu Glu Ser
115 120 125
Leu Arg Gly Asn Ala Asp Leu Ala Tyr Ile Leu Ser Met Glu Pro Cys
130 135 140
Gly His Cys Leu Ile Ile Asn Asn Val Asn Phe Cys Arg Glu Ser Gly
145 150 155 160
Leu Arg Thr Arg Thr Gly Ser Asn Ile Asp Cys Glu Lys Leu Arg Arg
165 170 175
Arg Phe Ser Ser Leu His Phe Met Val Glu Val Lys Gly Asp Leu Thr
180 185 190
Ala Lys Lys Met Val Leu Ala Leu Leu Glu Leu Ala Gln Gln Asp His
195 200 205
Gly Ala Leu Asp Cys Cys Val Val Val Ile Leu Ser His Gly Cys Gln
210 215 220
Ala Ser His Leu Gln Phe Pro Gly Ala Val Tyr Gly Thr Asp Gly Cys
225 230 235 240
Pro Val Ser Val Glu Lys Ile Val Asn Ile Phe Asn Gly Thr Ser Cys
245 250 255
Pro Ser Leu Gly Gly Lys Pro Lys Leu Phe Phe Ile Gln Ala Cys Gly
260 265 270
Gly Glu Gln Lys Asp His Gly Phe Glu Val Ala Ser Thr Ser Pro Glu
275 280 285
Asp Glu Ser Pro Gly Ser Asn Pro Glu Pro Asp Ala Thr Pro Phe Gln
290 295 300
Glu Gly Leu Arg Thr Phe Asp Gln Leu Asp Ala Ile Ser Ser Leu Pro
305 310 315 320
Thr Pro Ser Asp Ile Phe Val Ser Tyr Ser Thr Phe Pro Gly Phe Val
325 330 335
Ser Trp Arg Asp Pro Lys Ser Gly Ser Trp Tyr Val Glu Thr Leu Asp
340 345 350
Asp Ile Phe Glu Gln Trp Ala His Ser Glu Asp Leu Gln Ser Leu Leu
355 360 365
Leu Arg Val Ala Asn Ala Val Ser Val Lys Gly Ile Tyr Lys Gln Met
370 375 380
Pro Gly Cys Phe Asn Phe Leu Arg Lys Lys Leu Phe Phe Lys Thr Ser
385 390 395 400
Val Asp Tyr Pro Tyr Asp Val Pro Asp Tyr Ala Leu Asp
405 410
<210> 25
<211> 1242
<212> DNA
<213> Artificial Sequence
<220>
<223> Inducible caspase-9 (iC9)
<400> 25
atgctcgagg gagtgcaggt ggaaaccatc tccccaggag acgggcgcac cttccccaag 60
cgcggccaga cctgcgtggt gcactacacc gggatgcttg aagatggaaa gaaagttgat 120
tcctcccggg acagaaacaa gccctttaag tttatgctag gcaagcagga ggtgatccga 180
ggctgggaag aaggggttgc ccagatgagt gtgggtcaga gagccaaact gactatatct 240
ccagattatg cctatggtgc cactgggcac ccaggcatca tcccaccaca tgccactctc 300
gtcttcgatg tggagcttct aaaactggaa tctggcggtg gatccggagt cgacggattt 360
ggtgatgtcg gtgctcttga gagtttgagg ggaaatgcag atttggctta catcctgagc 420
atggagccct gtggccactg cctcattatc aacaatgtga acttctgccg tgagtccggg 480
ctccgcaccc gcactggctc caacatcgac tgtgagaagt tgcggcgtcg cttctcctcg 540
ctgcatttca tggtggaggt gaagggcgac ctgactgcca agaaaatggt gctggctttg 600
ctggagctgg cgcagcagga ccacggtgct ctggactgct gcgtggtggt cattctctct 660
cacggctgtc aggccagcca cctgcagttc ccaggggctg tctacggcac agatggatgc 720
cctgtgtcgg tcgagaagat tgtgaacatc ttcaatggga ccagctgccc cagcctggga 780
gggaagccca agctcttttt catccaggcc tgtggtgggg agcagaaaga ccatgggttt 840
gaggtggcct ccacttcccc tgaagacgag tcccctggca gtaaccccga gccagatgcc 900
accccgttcc aggaaggttt gaggaccttc gaccagctgg acgccatatc tagtttgccc 960
acacccagtg acatctttgt gtcctactct actttcccag gttttgtttc ctggagggac 1020
cccaagagtg gctcctggta cgttgagacc ctggacgaca tctttgagca gtgggctcac 1080
tctgaagacc tgcagtccct cctgcttagg gtcgctaatg ctgtttcggt gaaagggatt 1140
tataaacaga tgcctggttg ctttaatttc ctccggaaaa aacttttctt taaaacatca 1200
gtcgactatc cgtacgacgt accagactac gcactcgact aa 1242
<210> 26
<211> 22
<212> PRT
<213> Artificial Sequence
<220>
<223> P2A spacer sequence
<400> 26
Gly Ser Gly Ala Thr Asn Phe Ser Leu Leu Lys Gln Ala Gly Asp Val
1 5 10 15
Glu Glu Asn Pro Gly Pro
20
<210> 27
<211> 66
<212> DNA
<213> Artificial Sequence
<220>
<223> P2A spacer sequence
<400> 27
ggatccggag ccacgaactt ctctctgtta aagcaagcag gagacgtgga agaaaacccc 60
ggtcct 66
<210> 28
<211> 592
<212> DNA
<213> Woodchuck hepatitis virus
<400> 28
aatcaacctc tggattacaa aatttgtgaa agattgactg gtattcttaa ctatgttgct 60
ccttttacgc tatgtggata cgctgcttta atgcctttgt atcatgctat tgcttcccgt 120
atggctttca ttttctcctc cttgtataaa tcctggttgc tgtctcttta tgaggagttg 180
tggcccgttg tcaggcaacg tggcgtggtg tgcactgtgt ttgctgacgc aacccccact 240
ggttggggca ttgccaccac ctgtcagctc ctttccggga ctttcgcttt ccccctccct 300
attgccacgg cggaactcat cgccgcctgc cttgcccgct gctggacagg ggctcggctg 360
ttgggcactg acaattccgt ggtgttgtcg gggaagctga cgtcctttcc atggctgctc 420
gcctgtgttg ccacctggat tctgcgcggg acgtccttct gctacgtccc ttcggccctc 480
aatccagcgg accttccttc ccgcggcctg ctgccggctc tgcggcctct tccgcgtctt 540
cgccttcgcc ctcagacgag tcggatctcc ctttgggccg cctccccgcc tg 592
<210> 29
<211> 1370
<212> PRT
<213> Artificial Sequence
<220>
<223> Nucleic acid construct (CART4)
<400> 29
Met Glu Thr Asp Thr Leu Leu Leu Trp Val Leu Leu Leu Trp Val Pro
1 5 10 15
Gly Ser Thr Gly Asp Asp Ile Val Met Thr Gln Ser Pro Asp Ser Leu
20 25 30
Ala Val Ser Leu Gly Glu Arg Val Thr Met Asn Cys Lys Ser Ser Gln
35 40 45
Ser Leu Leu Tyr Ser Thr Asn Gln Lys Asn Tyr Leu Ala Trp Tyr Gln
50 55 60
Gln Lys Pro Gly Gln Ser Pro Lys Leu Leu Ile Tyr Trp Ala Ser Thr
65 70 75 80
Arg Glu Ser Gly Val Pro Asp Arg Phe Ser Gly Ser Gly Ser Gly Thr
85 90 95
Asp Phe Thr Leu Thr Ile Ser Ser Val Gln Ala Glu Asp Val Ala Val
100 105 110
Tyr Tyr Cys Gln Gln Tyr Tyr Ser Tyr Arg Thr Phe Gly Gly Gly Thr
115 120 125
Lys Leu Glu Ile Lys Gly Gly Gly Gly Ser Gly Gly Gly Gly Ser Gly
130 135 140
Gly Gly Gly Ser Gln Val Gln Leu Gln Gln Ser Gly Pro Glu Val Val
145 150 155 160
Lys Pro Gly Ala Ser Val Lys Met Ser Cys Lys Ala Ser Gly Tyr Thr
165 170 175
Phe Thr Ser Tyr Val Ile His Trp Val Arg Gln Lys Pro Gly Gln Gly
180 185 190
Leu Asp Trp Ile Gly Tyr Ile Asn Pro Tyr Asn Asp Gly Thr Asp Tyr
195 200 205
Asp Glu Lys Phe Lys Gly Lys Ala Thr Leu Thr Ser Asp Thr Ser Thr
210 215 220
Ser Thr Ala Tyr Met Glu Leu Ser Ser Leu Arg Ser Glu Asp Thr Ala
225 230 235 240
Val Tyr Tyr Cys Ala Arg Glu Lys Asp Asn Tyr Ala Thr Gly Ala Trp
245 250 255
Phe Ala Tyr Trp Gly Gln Gly Thr Leu Val Thr Val Ser Ser Ala Ala
260 265 270
Ala Phe Val Pro Val Phe Leu Pro Ala Lys Pro Thr Thr Thr Pro Ala
275 280 285
Pro Arg Pro Pro Thr Pro Ala Pro Thr Ile Ala Ser Gln Pro Leu Ser
290 295 300
Leu Arg Pro Glu Ala Cys Arg Pro Ala Ala Gly Gly Ala Val His Thr
305 310 315 320
Arg Gly Leu Asp Phe Ala Cys Asp Ile Tyr Ile Trp Ala Pro Leu Ala
325 330 335
Gly Thr Cys Gly Val Leu Leu Leu Ser Leu Val Ile Thr Leu Tyr Cys
340 345 350
Asn His Arg Asn Arg Ser Lys Arg Ser Arg Leu Leu His Ser Asp Tyr
355 360 365
Met Asn Met Thr Pro Arg Arg Pro Gly Pro Thr Arg Lys His Tyr Gln
370 375 380
Pro Tyr Ala Pro Pro Arg Asp Phe Ala Ala Tyr Arg Ser Arg Phe Ser
385 390 395 400
Val Val Lys Arg Gly Arg Lys Lys Leu Leu Tyr Ile Phe Lys Gln Pro
405 410 415
Phe Met Arg Pro Val Gln Thr Thr Gln Glu Glu Asp Gly Cys Ser Cys
420 425 430
Arg Phe Pro Glu Glu Glu Glu Gly Gly Cys Glu Leu Arg Val Lys Phe
435 440 445
Ser Arg Ser Ala Asp Ala Pro Ala Tyr Gln Gln Gly Gln Asn Gln Leu
450 455 460
Tyr Asn Glu Leu Asn Leu Gly Arg Arg Glu Glu Tyr Asp Val Leu Asp
465 470 475 480
Lys Arg Arg Gly Arg Asp Pro Glu Met Gly Gly Lys Pro Arg Arg Lys
485 490 495
Asn Pro Gln Glu Gly Leu Tyr Asn Glu Leu Gln Lys Asp Lys Met Ala
500 505 510
Glu Ala Tyr Ser Glu Ile Gly Met Lys Gly Glu Arg Arg Arg Gly Lys
515 520 525
Gly His Asp Gly Leu Tyr Gln Gly Leu Ser Thr Ala Thr Lys Asp Thr
530 535 540
Tyr Asp Ala Leu His Met Gln Ala Leu Pro Pro Arg Gly Ser Gly Ala
545 550 555 560
Thr Asn Phe Ser Leu Leu Lys Gln Ala Gly Asp Val Glu Glu Asn Pro
565 570 575
Gly Pro Met Leu Leu Leu Val Thr Ser Leu Leu Leu Cys Glu Leu Pro
580 585 590
His Pro Ala Phe Leu Leu Ile Pro Arg Lys Val Cys Asn Gly Ile Gly
595 600 605
Ile Gly Glu Phe Lys Asp Ser Leu Ser Ile Asn Ala Thr Asn Ile Lys
610 615 620
His Phe Lys Asn Cys Thr Ser Ile Ser Gly Asp Leu His Ile Leu Pro
625 630 635 640
Val Ala Phe Arg Gly Asp Ser Phe Thr His Thr Pro Pro Leu Asp Pro
645 650 655
Gln Glu Leu Asp Ile Leu Lys Thr Val Lys Glu Ile Thr Gly Phe Leu
660 665 670
Leu Ile Gln Ala Trp Pro Glu Asn Arg Thr Asp Leu His Ala Phe Glu
675 680 685
Asn Leu Glu Ile Ile Arg Gly Arg Thr Lys Gln His Gly Gln Phe Ser
690 695 700
Leu Ala Val Val Ser Leu Asn Ile Thr Ser Leu Gly Leu Arg Ser Leu
705 710 715 720
Lys Glu Ile Ser Asp Gly Asp Val Ile Ile Ser Gly Asn Lys Asn Leu
725 730 735
Cys Tyr Ala Asn Thr Ile Asn Trp Lys Lys Leu Phe Gly Thr Ser Gly
740 745 750
Gln Lys Thr Lys Ile Ile Ser Asn Arg Gly Glu Asn Ser Cys Lys Ala
755 760 765
Thr Gly Gln Val Cys His Ala Leu Cys Ser Pro Glu Gly Cys Trp Gly
770 775 780
Pro Glu Pro Arg Asp Cys Val Ser Cys Arg Asn Val Ser Arg Gly Arg
785 790 795 800
Glu Cys Val Asp Lys Cys Asn Leu Leu Glu Gly Glu Pro Arg Glu Phe
805 810 815
Val Glu Asn Ser Glu Cys Ile Gln Cys His Pro Glu Cys Leu Pro Gln
820 825 830
Ala Met Asn Ile Thr Cys Thr Gly Arg Gly Pro Asp Asn Cys Ile Gln
835 840 845
Cys Ala His Tyr Ile Asp Gly Pro His Cys Val Lys Thr Cys Pro Ala
850 855 860
Gly Val Met Gly Glu Asn Asn Thr Leu Val Trp Lys Tyr Ala Asp Ala
865 870 875 880
Gly His Val Cys His Leu Cys His Pro Asn Cys Thr Tyr Gly Cys Thr
885 890 895
Gly Pro Gly Leu Glu Gly Cys Pro Thr Asn Gly Pro Lys Ile Pro Ser
900 905 910
Ile Ala Thr Gly Met Val Gly Ala Leu Leu Leu Leu Leu Val Val Ala
915 920 925
Leu Gly Ile Gly Leu Phe Met Gly Ser Gly Ala Thr Asn Phe Ser Leu
930 935 940
Leu Lys Gln Ala Gly Asp Val Glu Glu Asn Pro Gly Pro Met Leu Glu
945 950 955 960
Gly Val Gln Val Glu Thr Ile Ser Pro Gly Asp Gly Arg Thr Phe Pro
965 970 975
Lys Arg Gly Gln Thr Cys Val Val His Tyr Thr Gly Met Leu Glu Asp
980 985 990
Gly Lys Lys Val Asp Ser Ser Arg Asp Arg Asn Lys Pro Phe Lys Phe
995 1000 1005
Met Leu Gly Lys Gln Glu Val Ile Arg Gly Trp Glu Glu Gly Val
1010 1015 1020
Ala Gln Met Ser Val Gly Gln Arg Ala Lys Leu Thr Ile Ser Pro
1025 1030 1035
Asp Tyr Ala Tyr Gly Ala Thr Gly His Pro Gly Ile Ile Pro Pro
1040 1045 1050
His Ala Thr Leu Val Phe Asp Val Glu Leu Leu Lys Leu Glu Ser
1055 1060 1065
Gly Gly Gly Ser Gly Val Asp Gly Phe Gly Asp Val Gly Ala Leu
1070 1075 1080
Glu Ser Leu Arg Gly Asn Ala Asp Leu Ala Tyr Ile Leu Ser Met
1085 1090 1095
Glu Pro Cys Gly His Cys Leu Ile Ile Asn Asn Val Asn Phe Cys
1100 1105 1110
Arg Glu Ser Gly Leu Arg Thr Arg Thr Gly Ser Asn Ile Asp Cys
1115 1120 1125
Glu Lys Leu Arg Arg Arg Phe Ser Ser Leu His Phe Met Val Glu
1130 1135 1140
Val Lys Gly Asp Leu Thr Ala Lys Lys Met Val Leu Ala Leu Leu
1145 1150 1155
Glu Leu Ala Gln Gln Asp His Gly Ala Leu Asp Cys Cys Val Val
1160 1165 1170
Val Ile Leu Ser His Gly Cys Gln Ala Ser His Leu Gln Phe Pro
1175 1180 1185
Gly Ala Val Tyr Gly Thr Asp Gly Cys Pro Val Ser Val Glu Lys
1190 1195 1200
Ile Val Asn Ile Phe Asn Gly Thr Ser Cys Pro Ser Leu Gly Gly
1205 1210 1215
Lys Pro Lys Leu Phe Phe Ile Gln Ala Cys Gly Gly Glu Gln Lys
1220 1225 1230
Asp His Gly Phe Glu Val Ala Ser Thr Ser Pro Glu Asp Glu Ser
1235 1240 1245
Pro Gly Ser Asn Pro Glu Pro Asp Ala Thr Pro Phe Gln Glu Gly
1250 1255 1260
Leu Arg Thr Phe Asp Gln Leu Asp Ala Ile Ser Ser Leu Pro Thr
1265 1270 1275
Pro Ser Asp Ile Phe Val Ser Tyr Ser Thr Phe Pro Gly Phe Val
1280 1285 1290
Ser Trp Arg Asp Pro Lys Ser Gly Ser Trp Tyr Val Glu Thr Leu
1295 1300 1305
Asp Asp Ile Phe Glu Gln Trp Ala His Ser Glu Asp Leu Gln Ser
1310 1315 1320
Leu Leu Leu Arg Val Ala Asn Ala Val Ser Val Lys Gly Ile Tyr
1325 1330 1335
Lys Gln Met Pro Gly Cys Phe Asn Phe Leu Arg Lys Lys Leu Phe
1340 1345 1350
Phe Lys Thr Ser Val Asp Tyr Pro Tyr Asp Val Pro Asp Tyr Ala
1355 1360 1365
Leu Asp
1370
<210> 30
<211> 4113
<212> DNA
<213> Artificial Sequence
<220>
<223> Nucleic acid construct (CART4)
<400> 30
atggagacag acacactcct gctatgggtg ctgctgctct gggttccagg ttccacaggt 60
gacgacattg tgatgactca gagccccgac agcctggccg tctcactggg cgaaagggtg 120
accatgaatt gtaaatcttc tcagagcctg ctgtacagta caaaccagaa aaattacctg 180
gcctggtatc agcagaaacc cggccagagc cctaagctgc tgatctattg ggcaagtacc 240
cgagagtcag gagtgccaga cagattctcc gggtctggaa gtggcacaga cttcaccctg 300
acaattagct ccgtgcaggc cgaggacgtg gctgtctact attgccagca gtactatagc 360
taccgaactt tcggcggggg aaccaaactg gaaatcaagg gaggaggagg cagtggcgga 420
ggagggtcag gaggaggagg aagccaggtg cagctgcagc agtccggacc agaggtggtc 480
aaacccggcg ctagcgtcaa aatgtcctgt aaggcatctg gctacacttt cacctcttat 540
gtgattcact gggtcagaca gaagcctggg cagggactgg actggatcgg gtacattaac 600
ccatataatg atggaactga ctacgatgaa aagtttaaag gcaaggccac actgacttcc 660
gacacctcaa caagcactgc ttatatggag ctgtctagtc tgaggtctga agacacagca 720
gtgtactatt gcgcccgcga gaaggataac tacgccactg gcgcttggtt tgcatattgg 780
ggccagggga ccctggtgac agtctcatcc gcggccgcat tcgtgccggt cttcctgcca 840
gcgaagccca ccacgacgcc agcgccgcga ccaccaacac cggcgcccac catcgcgtcg 900
cagcccctgt ccctgcgccc agaggcgtgc cggccagcgg cggggggcgc agtgcacacg 960
agggggctgg acttcgcctg tgatatctac atctgggcgc ccttggccgg gacttgtggg 1020
gtccttctcc tgtcactggt tatcaccctt tactgcaacc acaggaacag gagtaagagg 1080
agcaggctcc tgcacagtga ctacatgaac atgactcccc gccgccccgg gcccacccgc 1140
aagcattacc agccctatgc cccaccacgc gacttcgcag cctatcgctc ccgtttctct 1200
gttgttaaac ggggcagaaa gaagctcctg tatatattca aacaaccatt tatgagacca 1260
gtacaaacta ctcaagagga agatggctgt agctgccgat ttccagaaga agaagaagga 1320
ggatgtgaac tgagagtgaa gttcagcagg agcgcagacg cccccgcgta ccagcagggc 1380
cagaaccagc tctataacga gctcaatcta ggacgaagag aggagtacga tgttttggac 1440
aagagacgtg gccgggaccc tgagatgggg ggaaagccga gaaggaagaa ccctcaggaa 1500
ggcctgtaca atgaactgca gaaagataag atggcggagg cctacagtga gattgggatg 1560
aaaggcgagc gccggagggg caaggggcac gatggccttt accagggtct cagtacagcc 1620
accaaggaca cctacgacgc ccttcacatg caggccctgc cccctcgcgg atccggagcc 1680
acgaacttct ctctgttaaa gcaagcagga gacgtggaag aaaaccccgg tcctatgctt 1740
ctcctggtga caagccttct gctctgtgag ttaccacacc cagcattcct cctgatccca 1800
cgcaaagtgt gtaacggaat aggtattggt gaatttaaag actcactctc cataaatgct 1860
acgaatatta aacacttcaa aaactgcacc tccatcagtg gcgatctcca catcctgccg 1920
gtggcattta ggggtgactc cttcacacat actcctcctc tggatccaca ggaactggat 1980
attctgaaaa ccgtaaagga aatcacaggg tttttgctga ttcaggcttg gcctgaaaac 2040
aggacggacc tccatgcctt tgagaaccta gaaatcatac gcggcaggac caagcaacat 2100
ggtcagtttt ctcttgcagt cgtcagcctg aacataacat ccttgggatt acgctccctc 2160
aaggagataa gtgatggaga tgtgataatt tcaggaaaca aaaatttgtg ctatgcaaat 2220
acaataaact ggaaaaaact gtttgggacc tccggtcaga aaaccaaaat tataagcaac 2280
agaggtgaaa acagctgcaa ggccacaggc caggtctgcc atgccttgtg ctcccccgag 2340
ggctgctggg gcccggaacc cagggactgc gtctcttgcc ggaatgtcag ccgaggcagg 2400
gaatgcgtgg acaagtgcaa ccttctggag ggtgagccaa gggagtttgt ggagaactct 2460
gagtgcatac agtgccaccc agagtgcctg cctcaggcca tgaacatcac ctgcacagga 2520
cggggaccag acaactgtat ccagtgtgcc cactacattg acggccccca ctgcgtcaag 2580
acctgcccgg caggagtcat gggagaaaac aacaccctgg tctggaagta cgcagacgcc 2640
ggccatgtgt gccacctgtg ccatccaaac tgcacctacg gatgcactgg gccaggtctt 2700
gaaggctgtc caacgaatgg gcctaagatc ccgtccatcg ccactgggat ggtgggggcc 2760
ctcctcttgc tgctggtggt ggccctgggg atcggcctct tcatgggatc tggagccacg 2820
aacttctctc tgttaaagca agcaggagac gtggaagaaa accccggtcc tatgctcgag 2880
ggagtgcagg tggaaaccat ctccccagga gacgggcgca ccttccccaa gcgcggccag 2940
acctgcgtgg tgcactacac cgggatgctt gaagatggaa agaaagttga ttcctcccgg 3000
gacagaaaca agccctttaa gtttatgcta ggcaagcagg aggtgatccg aggctgggaa 3060
gaaggggttg cccagatgag tgtgggtcag agagccaaac tgactatatc tccagattat 3120
gcctatggtg ccactgggca cccaggcatc atcccaccac atgccactct cgtcttcgat 3180
gtggagcttc taaaactgga atctggcggt ggatccggag tcgacggatt tggtgatgtc 3240
ggtgctcttg agagtttgag gggaaatgca gatttggctt acatcctgag catggagccc 3300
tgtggccact gcctcattat caacaatgtg aacttctgcc gtgagtccgg gctccgcacc 3360
cgcactggct ccaacatcga ctgtgagaag ttgcggcgtc gcttctcctc gctgcatttc 3420
atggtggagg tgaagggcga cctgactgcc aagaaaatgg tgctggcttt gctggagctg 3480
gcgcagcagg accacggtgc tctggactgc tgcgtggtgg tcattctctc tcacggctgt 3540
caggccagcc acctgcagtt cccaggggct gtctacggca cagatggatg ccctgtgtcg 3600
gtcgagaaga ttgtgaacat cttcaatggg accagctgcc ccagcctggg agggaagccc 3660
aagctctttt tcatccaggc ctgtggtggg gagcagaaag accatgggtt tgaggtggcc 3720
tccacttccc ctgaagacga gtcccctggc agtaaccccg agccagatgc caccccgttc 3780
caggaaggtt tgaggacctt cgaccagctg gacgccatat ctagtttgcc cacacccagt 3840
gacatctttg tgtcctactc tactttccca ggttttgttt cctggaggga ccccaagagt 3900
ggctcctggt acgttgagac cctggacgac atctttgagc agtgggctca ctctgaagac 3960
ctgcagtccc tcctgcttag ggtcgctaat gctgtttcgg tgaaagggat ttataaacag 4020
atgcctggtt gctttaattt cctccggaaa aaacttttct ttaaaacatc agtcgactat 4080
ccgtacgacg taccagacta cgcactcgac taa 4113
<210> 31
<211> 1366
<212> PRT
<213> Artificial Sequence
<220>
<223> Nucleic acid construct (CARTVb7.1)
<400> 31
Met Ala Leu Pro Val Thr Ala Leu Leu Leu Pro Leu Ala Leu Leu Leu
1 5 10 15
His Ala Ala Arg Pro Asp Ile Gln Met Thr Gln Ser Pro Ser Ser Leu
20 25 30
Ser Ala Ser Leu Gly Gly Lys Val Thr Leu Thr Cys Lys Ala Ser Gln
35 40 45
Asp Ile Asn Lys Tyr Ile Ala Trp Tyr Gln His Lys Pro Gly Lys Gly
50 55 60
Pro Arg Leu Leu Ile His Tyr Thr Ser Thr Leu Gln Pro Gly Ile Pro
65 70 75 80
Ser Arg Phe Ser Gly Ser Gly Ser Gly Arg Asp Tyr Ser Phe Ser Ile
85 90 95
Ser Asn Leu Glu Pro Glu Asp Val Ala Thr Tyr Tyr Cys Leu Gln Tyr
100 105 110
Asp Asn Leu Arg Thr Phe Gly Gly Gly Thr Lys Leu Glu Ile Lys Arg
115 120 125
Thr Asp Gly Gly Gly Gly Ser Gly Gly Gly Gly Ser Gly Gly Gly Gly
130 135 140
Ser Gln Val Gln Leu Gln Gln Pro Gly Ala Glu Leu Val Lys Pro Gly
145 150 155 160
Ala Ser Val Lys Met Ser Cys Lys Ala Ser Gly Tyr Thr Phe Thr Arg
165 170 175
Tyr Trp Ile Thr Trp Val Lys Gln Arg Pro Gly Gln Gly Leu Glu Trp
180 185 190
Ile Gly Asp Ile Tyr Pro Gly Ser Gly Phe Thr Lys Tyr Asn Glu Lys
195 200 205
Phe Lys Ser Lys Ala Thr Leu Thr Val Asp Thr Ser Ser Ser Thr Ala
210 215 220
Tyr Met Gln Leu Ser Ser Leu Thr Ser Glu Asp Ser Ala Val Tyr Tyr
225 230 235 240
Cys Ala Arg Glu Gly Gly Asn Tyr Trp Tyr Phe Asp Val Trp Gly Thr
245 250 255
Gly Thr Thr Val Thr Val Ser Ser Ala Ala Ala Ala Ala Phe Val Pro
260 265 270
Val Phe Leu Pro Ala Lys Pro Thr Thr Thr Pro Ala Pro Arg Pro Pro
275 280 285
Thr Pro Ala Pro Thr Ile Ala Ser Gln Pro Leu Ser Leu Arg Pro Glu
290 295 300
Ala Cys Arg Pro Ala Ala Gly Gly Ala Val His Thr Arg Gly Leu Asp
305 310 315 320
Phe Ala Cys Asp Ile Tyr Ile Trp Ala Pro Leu Ala Gly Thr Cys Gly
325 330 335
Val Leu Leu Leu Ser Leu Val Ile Thr Leu Tyr Cys Asn His Arg Asn
340 345 350
Arg Ser Lys Arg Ser Arg Leu Leu His Ser Asp Tyr Met Asn Met Thr
355 360 365
Pro Arg Arg Pro Gly Pro Thr Arg Lys His Tyr Gln Pro Tyr Ala Pro
370 375 380
Pro Arg Asp Phe Ala Ala Tyr Arg Ser Arg Phe Ser Val Val Lys Arg
385 390 395 400
Gly Arg Lys Lys Leu Leu Tyr Ile Phe Lys Gln Pro Phe Met Arg Pro
405 410 415
Val Gln Thr Thr Gln Glu Glu Asp Gly Cys Ser Cys Arg Phe Pro Glu
420 425 430
Glu Glu Glu Gly Gly Cys Glu Leu Arg Val Lys Phe Ser Arg Ser Ala
435 440 445
Asp Ala Pro Ala Tyr Gln Gln Gly Gln Asn Gln Leu Tyr Asn Glu Leu
450 455 460
Asn Leu Gly Arg Arg Glu Glu Tyr Asp Val Leu Asp Lys Arg Arg Gly
465 470 475 480
Arg Asp Pro Glu Met Gly Gly Lys Pro Arg Arg Lys Asn Pro Gln Glu
485 490 495
Gly Leu Tyr Asn Glu Leu Gln Lys Asp Lys Met Ala Glu Ala Tyr Ser
500 505 510
Glu Ile Gly Met Lys Gly Glu Arg Arg Arg Gly Lys Gly His Asp Gly
515 520 525
Leu Tyr Gln Gly Leu Ser Thr Ala Thr Lys Asp Thr Tyr Asp Ala Leu
530 535 540
His Met Gln Ala Leu Pro Pro Arg Gly Ser Gly Ala Thr Asn Phe Ser
545 550 555 560
Leu Leu Lys Gln Ala Gly Asp Val Glu Glu Asn Pro Gly Pro Met Leu
565 570 575
Leu Leu Val Thr Ser Leu Leu Leu Cys Glu Leu Pro His Pro Ala Phe
580 585 590
Leu Leu Ile Pro Arg Lys Val Cys Asn Gly Ile Gly Ile Gly Glu Phe
595 600 605
Lys Asp Ser Leu Ser Ile Asn Ala Thr Asn Ile Lys His Phe Lys Asn
610 615 620
Cys Thr Ser Ile Ser Gly Asp Leu His Ile Leu Pro Val Ala Phe Arg
625 630 635 640
Gly Asp Ser Phe Thr His Thr Pro Pro Leu Asp Pro Gln Glu Leu Asp
645 650 655
Ile Leu Lys Thr Val Lys Glu Ile Thr Gly Phe Leu Leu Ile Gln Ala
660 665 670
Trp Pro Glu Asn Arg Thr Asp Leu His Ala Phe Glu Asn Leu Glu Ile
675 680 685
Ile Arg Gly Arg Thr Lys Gln His Gly Gln Phe Ser Leu Ala Val Val
690 695 700
Ser Leu Asn Ile Thr Ser Leu Gly Leu Arg Ser Leu Lys Glu Ile Ser
705 710 715 720
Asp Gly Asp Val Ile Ile Ser Gly Asn Lys Asn Leu Cys Tyr Ala Asn
725 730 735
Thr Ile Asn Trp Lys Lys Leu Phe Gly Thr Ser Gly Gln Lys Thr Lys
740 745 750
Ile Ile Ser Asn Arg Gly Glu Asn Ser Cys Lys Ala Thr Gly Gln Val
755 760 765
Cys His Ala Leu Cys Ser Pro Glu Gly Cys Trp Gly Pro Glu Pro Arg
770 775 780
Asp Cys Val Ser Cys Arg Asn Val Ser Arg Gly Arg Glu Cys Val Asp
785 790 795 800
Lys Cys Asn Leu Leu Glu Gly Glu Pro Arg Glu Phe Val Glu Asn Ser
805 810 815
Glu Cys Ile Gln Cys His Pro Glu Cys Leu Pro Gln Ala Met Asn Ile
820 825 830
Thr Cys Thr Gly Arg Gly Pro Asp Asn Cys Ile Gln Cys Ala His Tyr
835 840 845
Ile Asp Gly Pro His Cys Val Lys Thr Cys Pro Ala Gly Val Met Gly
850 855 860
Glu Asn Asn Thr Leu Val Trp Lys Tyr Ala Asp Ala Gly His Val Cys
865 870 875 880
His Leu Cys His Pro Asn Cys Thr Tyr Gly Cys Thr Gly Pro Gly Leu
885 890 895
Glu Gly Cys Pro Thr Asn Gly Pro Lys Ile Pro Ser Ile Ala Thr Gly
900 905 910
Met Val Gly Ala Leu Leu Leu Leu Leu Val Val Ala Leu Gly Ile Gly
915 920 925
Leu Phe Met Gly Ser Gly Ala Thr Asn Phe Ser Leu Leu Lys Gln Ala
930 935 940
Gly Asp Val Glu Glu Asn Pro Gly Pro Met Leu Glu Gly Val Gln Val
945 950 955 960
Glu Thr Ile Ser Pro Gly Asp Gly Arg Thr Phe Pro Lys Arg Gly Gln
965 970 975
Thr Cys Val Val His Tyr Thr Gly Met Leu Glu Asp Gly Lys Lys Val
980 985 990
Asp Ser Ser Arg Asp Arg Asn Lys Pro Phe Lys Phe Met Leu Gly Lys
995 1000 1005
Gln Glu Val Ile Arg Gly Trp Glu Glu Gly Val Ala Gln Met Ser
1010 1015 1020
Val Gly Gln Arg Ala Lys Leu Thr Ile Ser Pro Asp Tyr Ala Tyr
1025 1030 1035
Gly Ala Thr Gly His Pro Gly Ile Ile Pro Pro His Ala Thr Leu
1040 1045 1050
Val Phe Asp Val Glu Leu Leu Lys Leu Glu Ser Gly Gly Gly Ser
1055 1060 1065
Gly Val Asp Gly Phe Gly Asp Val Gly Ala Leu Glu Ser Leu Arg
1070 1075 1080
Gly Asn Ala Asp Leu Ala Tyr Ile Leu Ser Met Glu Pro Cys Gly
1085 1090 1095
His Cys Leu Ile Ile Asn Asn Val Asn Phe Cys Arg Glu Ser Gly
1100 1105 1110
Leu Arg Thr Arg Thr Gly Ser Asn Ile Asp Cys Glu Lys Leu Arg
1115 1120 1125
Arg Arg Phe Ser Ser Leu His Phe Met Val Glu Val Lys Gly Asp
1130 1135 1140
Leu Thr Ala Lys Lys Met Val Leu Ala Leu Leu Glu Leu Ala Gln
1145 1150 1155
Gln Asp His Gly Ala Leu Asp Cys Cys Val Val Val Ile Leu Ser
1160 1165 1170
His Gly Cys Gln Ala Ser His Leu Gln Phe Pro Gly Ala Val Tyr
1175 1180 1185
Gly Thr Asp Gly Cys Pro Val Ser Val Glu Lys Ile Val Asn Ile
1190 1195 1200
Phe Asn Gly Thr Ser Cys Pro Ser Leu Gly Gly Lys Pro Lys Leu
1205 1210 1215
Phe Phe Ile Gln Ala Cys Gly Gly Glu Gln Lys Asp His Gly Phe
1220 1225 1230
Glu Val Ala Ser Thr Ser Pro Glu Asp Glu Ser Pro Gly Ser Asn
1235 1240 1245
Pro Glu Pro Asp Ala Thr Pro Phe Gln Glu Gly Leu Arg Thr Phe
1250 1255 1260
Asp Gln Leu Asp Ala Ile Ser Ser Leu Pro Thr Pro Ser Asp Ile
1265 1270 1275
Phe Val Ser Tyr Ser Thr Phe Pro Gly Phe Val Ser Trp Arg Asp
1280 1285 1290
Pro Lys Ser Gly Ser Trp Tyr Val Glu Thr Leu Asp Asp Ile Phe
1295 1300 1305
Glu Gln Trp Ala His Ser Glu Asp Leu Gln Ser Leu Leu Leu Arg
1310 1315 1320
Val Ala Asn Ala Val Ser Val Lys Gly Ile Tyr Lys Gln Met Pro
1325 1330 1335
Gly Cys Phe Asn Phe Leu Arg Lys Lys Leu Phe Phe Lys Thr Ser
1340 1345 1350
Val Asp Tyr Pro Tyr Asp Val Pro Asp Tyr Ala Leu Asp
1355 1360 1365
<210> 32
<211> 4101
<212> DNA
<213> Artificial Sequence
<220>
<223> Nucleic acid construct (CARTVb7.1)
<400> 32
atggctctgc ctgttacagc tctgctgctg cctctggctc tgcttctgca tgccgccaga 60
cctgacatcc agatgacaca gagccctagc agcctgtctg cctctctcgg cggaaaagtg 120
accctgacat gcaaggccag ccaggacatc aacaagtata tcgcctggta tcagcacaag 180
cccggcaagg gacctagact gctgatccac tacaccagca cactgcagcc tggcatcccc 240
agcagatttt ctggcagcgg ctccggcaga gactacagct tcagcatcag caacctggaa 300
cctgaggacg tggccaccta ctactgcctg cagtacgaca acctgcggac ctttggcggc 360
ggaacaaagc tggaaatcaa gcggacagat ggcggaggcg gatcaggcgg cggaggaagc 420
ggtggcggag gatctcaagt tcagctgcaa cagcctggcg ccgagcttgt gaaacctggc 480
gcctctgtga agatgagctg caaggcctcc ggctacacct tcaccagata ctggatcacc 540
tgggtcaagc agaggcctgg acagggactc gagtggatcg gcgatatcta tcctggctcc 600
ggcttcacca agtacaacga gaagttcaag agcaaggcca cactgaccgt ggacaccagc 660
agcagcacag cctacatgca gctgtctagc ctgaccagcg aggacagcgc cgtgtactac 720
tgtgctagag aaggcggcaa ctactggtac ttcgacgtgt ggggcaccgg caccacagtg 780
acagttagtt ctgcggccgc ggccgcattc gtgccggtct tcctgccagc gaagcccacc 840
acgacgccag cgccgcgacc accaacaccg gcgcccacca tcgcgtcgca gcccctgtcc 900
ctgcgcccag aggcgtgccg gccagcggcg gggggcgcag tgcacacgag ggggctggac 960
ttcgcctgtg atatctacat ctgggcgccc ttggccggga cttgtggggt ccttctcctg 1020
tcactggtta tcacccttta ctgcaaccac aggaacagga gtaagaggag caggctcctg 1080
cacagtgact acatgaacat gactccccgc cgccccgggc ccacccgcaa gcattaccag 1140
ccctatgccc caccacgcga cttcgcagcc tatcgctccc gtttctctgt tgttaaacgg 1200
ggcagaaaga agctcctgta tatattcaaa caaccattta tgagaccagt acaaactact 1260
caagaggaag atggctgtag ctgccgattt ccagaagaag aagaaggagg atgtgaactg 1320
agagtgaagt tcagcaggag cgcagacgcc cccgcgtacc agcagggcca gaaccagctc 1380
tataacgagc tcaatctagg acgaagagag gagtacgatg ttttggacaa gagacgtggc 1440
cgggaccctg agatgggggg aaagccgaga aggaagaacc ctcaggaagg cctgtacaat 1500
gaactgcaga aagataagat ggcggaggcc tacagtgaga ttgggatgaa aggcgagcgc 1560
cggaggggca aggggcacga tggcctttac cagggtctca gtacagccac caaggacacc 1620
tacgacgccc ttcacatgca ggccctgccc cctcgcggat ccggagccac gaacttctct 1680
ctgttaaagc aagcaggaga cgtggaagaa aaccccggtc ctatgcttct cctggtgaca 1740
agccttctgc tctgtgagtt accacaccca gcattcctcc tgatcccacg caaagtgtgt 1800
aacggaatag gtattggtga atttaaagac tcactctcca taaatgctac gaatattaaa 1860
cacttcaaaa actgcacctc catcagtggc gatctccaca tcctgccggt ggcatttagg 1920
ggtgactcct tcacacatac tcctcctctg gatccacagg aactggatat tctgaaaacc 1980
gtaaaggaaa tcacagggtt tttgctgatt caggcttggc ctgaaaacag gacggacctc 2040
catgcctttg agaacctaga aatcatacgc ggcaggacca agcaacatgg tcagttttct 2100
cttgcagtcg tcagcctgaa cataacatcc ttgggattac gctccctcaa ggagataagt 2160
gatggagatg tgataatttc aggaaacaaa aatttgtgct atgcaaatac aataaactgg 2220
aaaaaactgt ttgggacctc cggtcagaaa accaaaatta taagcaacag aggtgaaaac 2280
agctgcaagg ccacaggcca ggtctgccat gccttgtgct cccccgaggg ctgctggggc 2340
ccggaaccca gggactgcgt ctcttgccgg aatgtcagcc gaggcaggga atgcgtggac 2400
aagtgcaacc ttctggaggg tgagccaagg gagtttgtgg agaactctga gtgcatacag 2460
tgccacccag agtgcctgcc tcaggccatg aacatcacct gcacaggacg gggaccagac 2520
aactgtatcc agtgtgccca ctacattgac ggcccccact gcgtcaagac ctgcccggca 2580
ggagtcatgg gagaaaacaa caccctggtc tggaagtacg cagacgccgg ccatgtgtgc 2640
cacctgtgcc atccaaactg cacctacgga tgcactgggc caggtcttga aggctgtcca 2700
acgaatgggc ctaagatccc gtccatcgcc actgggatgg tgggggccct cctcttgctg 2760
ctggtggtgg ccctggggat cggcctcttc atgggatctg gagccacgaa cttctctctg 2820
ttaaagcaag caggagacgt ggaagaaaac cccggtccta tgctcgaggg agtgcaggtg 2880
gaaaccatct ccccaggaga cgggcgcacc ttccccaagc gcggccagac ctgcgtggtg 2940
cactacaccg ggatgcttga agatggaaag aaagttgatt cctcccggga cagaaacaag 3000
ccctttaagt ttatgctagg caagcaggag gtgatccgag gctgggaaga aggggttgcc 3060
cagatgagtg tgggtcagag agccaaactg actatatctc cagattatgc ctatggtgcc 3120
actgggcacc caggcatcat cccaccacat gccactctcg tcttcgatgt ggagcttcta 3180
aaactggaat ctggcggtgg atccggagtc gacggatttg gtgatgtcgg tgctcttgag 3240
agtttgaggg gaaatgcaga tttggcttac atcctgagca tggagccctg tggccactgc 3300
ctcattatca acaatgtgaa cttctgccgt gagtccgggc tccgcacccg cactggctcc 3360
aacatcgact gtgagaagtt gcggcgtcgc ttctcctcgc tgcatttcat ggtggaggtg 3420
aagggcgacc tgactgccaa gaaaatggtg ctggctttgc tggagctggc gcagcaggac 3480
cacggtgctc tggactgctg cgtggtggtc attctctctc acggctgtca ggccagccac 3540
ctgcagttcc caggggctgt ctacggcaca gatggatgcc ctgtgtcggt cgagaagatt 3600
gtgaacatct tcaatgggac cagctgcccc agcctgggag ggaagcccaa gctctttttc 3660
atccaggcct gtggtgggga gcagaaagac catgggtttg aggtggcctc cacttcccct 3720
gaagacgagt cccctggcag taaccccgag ccagatgcca ccccgttcca ggaaggtttg 3780
aggaccttcg accagctgga cgccatatct agtttgccca cacccagtga catctttgtg 3840
tcctactcta ctttcccagg ttttgtttcc tggagggacc ccaagagtgg ctcctggtac 3900
gttgagaccc tggacgacat ctttgagcag tgggctcact ctgaagacct gcagtccctc 3960
ctgcttaggg tcgctaatgc tgtttcggtg aaagggattt ataaacagat gcctggttgc 4020
tttaatttcc tccggaaaaa acttttcttt aaaacatcag tcgactatcc gtacgacgta 4080
ccagactacg cactcgacta a 4101
<210> 33
<211> 10348
<212> DNA
<213> Artificial Sequence
<220>
<223> Vector (CART4: CAR4-tEGFR-iC9)
<400> 33
tgaaagaccc cacctgtagg tttggcaagc tagcttaagt aacgccattt tgcaaggcat 60
ggaaaataca taactgagaa tagagaagtt cagatcaagg ttaggaacag agagacagca 120
gaatatgggc caaacaggat atctgtggta agcagttcct gccccggctc agggccaaga 180
acagatggtc cccagatgcg gtcccgccct cagcagtttc tagagaacca tcagatgttt 240
ccagggtgcc ccaaggacct gaaatgaccc tgtgccttat ttgaactaac caatcagttc 300
gcttctcgct tctgttcgcg cgcttctgct ccccgagctc aataaaagag cccacaaccc 360
ctcactcggc gcgccagtcc tccgatagac tgcgtcgccc gggtacccgt attcccaata 420
aagcctcttg ctgtttgcat ccgaatcgtg gactcgctga tccttgggag ggtctcctca 480
gattgattga ctgcccacct cgggggtctt tcatttggag gttccaccga gatttggaga 540
cccctgccca gggaccaccg acccccccgc cgggaggtaa gctggccagc ggtcgtttcg 600
tgtctgtctc tgtctttgtg cgtgtttgtg ccggcatcta atgtttgcgc ctgcgtctgt 660
actagttagc taactagctc tgtatctggc ggacccgtgg tggaactgac gagttctgaa 720
cacccggccg caaccctggg agacgtccca gggactttgg gggccgtttt tgtggcccga 780
cctgaggaag ggagtcgatg tggaatccga ccccgtcagg atatgtggtt ctggtaggag 840
acgagaacct aaaacagttc ccgcctccgt ctgaattttt gctttcggtt tggaaccgaa 900
gccgcgcgtc ttgtctgctg cagcgctgca gcatcgttct gtgttgtctc tgtctgactg 960
tgtttctgta tttgtctgaa aattagggcc agactgttac cactccctta agtttgacct 1020
taggtcactg gaaagatgtc gagcggatcg ctcacaacca gtcggtagat gtcaagaaga 1080
gacgttgggt taccttctgc tctgcagaat ggccaacctt taacgtcgga tggccgcgag 1140
acggcacctt taaccgagac ctcatcaccc aggttaagat caaggtcttt tcacctggcc 1200
cgcatggaca cccagaccag gtcccctaca tcgtgacctg ggaagccttg gcttttgacc 1260
cccctccctg ggtcaagccc tttgtacacc ctaagcctcc gcctcctctt cctccatccg 1320
ccccgtctct cccccttgaa cctcctcgtt cgaccccgcc tcgatcctcc ctttatccag 1380
ccctcactcc ttctctaggc gccggaatta gatctctcga ggttaacgaa ttctaccggg 1440
taggggaggc gcttttccca aggcagtctg gagcatgcgc tttagcagcc ccgctgggca 1500
cttggcgcta cacaagtggc ctctggcctc gcacacattc cacatccacc ggtaggcgcc 1560
aaccggctcc gttctttggt ggccccttcg cgccaccttc tactcctccc ctagtcagga 1620
agttcccccc cgccccgcag ctcgcgtcgt gcaggacgtg acaaatggaa gtagcacgtc 1680
tcactagtct cgtgcagatg gacagcaccg ctgagcaatg gaagcgggta ggcctttggg 1740
gcagcggcca atagcagctt tgctccttcg ctttctgggc tcagaggctg ggaaggggtg 1800
ggtccggggg cgggctcagg ggcgggctca ggggcggggc gggcgcccga aggtcctccg 1860
gaggcccggc attctgcacg cttcaaaagc gcacgtctgc cgcgctgttc tcctcttcct 1920
cattctccgg gcctttcgac ctgcagccca agccaccatg gagacagaca cactcctgct 1980
atgggtgctg ctgctctggg ttccaggttc cacaggtgac gacattgtga tgactcagag 2040
ccccgacagc ctggccgtct cactgggcga aagggtgacc atgaattgta aatcttctca 2100
gagcctgctg tacagtacaa accagaaaaa ttacctggcc tggtatcagc agaaacccgg 2160
ccagagccct aagctgctga tctattgggc aagtacccga gagtcaggag tgccagacag 2220
attctccggg tctggaagtg gcacagactt caccctgaca attagctccg tgcaggccga 2280
ggacgtggct gtctactatt gccagcagta ctatagctac cgaactttcg gcgggggaac 2340
caaactggaa atcaagggag gaggaggcag tggcggagga gggtcaggag gaggaggaag 2400
ccaggtgcag ctgcagcagt ccggaccaga ggtggtcaaa cccggcgcta gcgtcaaaat 2460
gtcctgtaag gcatctggct acactttcac ctcttatgtg attcactggg tcagacagaa 2520
gcctgggcag ggactggact ggatcgggta cattaaccca tataatgatg gaactgacta 2580
cgatgaaaag tttaaaggca aggccacact gacttccgac acctcaacaa gcactgctta 2640
tatggagctg tctagtctga ggtctgaaga cacagcagtg tactattgcg cccgcgagaa 2700
ggataactac gccactggcg cttggtttgc atattggggc caggggaccc tggtgacagt 2760
ctcatccgcg gccgcattcg tgccggtctt cctgccagcg aagcccacca cgacgccagc 2820
gccgcgacca ccaacaccgg cgcccaccat cgcgtcgcag cccctgtccc tgcgcccaga 2880
ggcgtgccgg ccagcggcgg ggggcgcagt gcacacgagg gggctggact tcgcctgtga 2940
tatctacatc tgggcgccct tggccgggac ttgtggggtc cttctcctgt cactggttat 3000
caccctttac tgcaaccaca ggaacaggag taagaggagc aggctcctgc acagtgacta 3060
catgaacatg actccccgcc gccccgggcc cacccgcaag cattaccagc cctatgcccc 3120
accacgcgac ttcgcagcct atcgctcccg tttctctgtt gttaaacggg gcagaaagaa 3180
gctcctgtat atattcaaac aaccatttat gagaccagta caaactactc aagaggaaga 3240
tggctgtagc tgccgatttc cagaagaaga agaaggagga tgtgaactga gagtgaagtt 3300
cagcaggagc gcagacgccc ccgcgtacca gcagggccag aaccagctct ataacgagct 3360
caatctagga cgaagagagg agtacgatgt tttggacaag agacgtggcc gggaccctga 3420
gatgggggga aagccgagaa ggaagaaccc tcaggaaggc ctgtacaatg aactgcagaa 3480
agataagatg gcggaggcct acagtgagat tgggatgaaa ggcgagcgcc ggaggggcaa 3540
ggggcacgat ggcctttacc agggtctcag tacagccacc aaggacacct acgacgccct 3600
tcacatgcag gccctgcccc ctcgcggatc cggagccacg aacttctctc tgttaaagca 3660
agcaggagac gtggaagaaa accccggtcc tatgcttctc ctggtgacaa gccttctgct 3720
ctgtgagtta ccacacccag cattcctcct gatcccacgc aaagtgtgta acggaatagg 3780
tattggtgaa tttaaagact cactctccat aaatgctacg aatattaaac acttcaaaaa 3840
ctgcacctcc atcagtggcg atctccacat cctgccggtg gcatttaggg gtgactcctt 3900
cacacatact cctcctctgg atccacagga actggatatt ctgaaaaccg taaaggaaat 3960
cacagggttt ttgctgattc aggcttggcc tgaaaacagg acggacctcc atgcctttga 4020
gaacctagaa atcatacgcg gcaggaccaa gcaacatggt cagttttctc ttgcagtcgt 4080
cagcctgaac ataacatcct tgggattacg ctccctcaag gagataagtg atggagatgt 4140
gataatttca ggaaacaaaa atttgtgcta tgcaaataca ataaactgga aaaaactgtt 4200
tgggacctcc ggtcagaaaa ccaaaattat aagcaacaga ggtgaaaaca gctgcaaggc 4260
cacaggccag gtctgccatg ccttgtgctc ccccgagggc tgctggggcc cggaacccag 4320
ggactgcgtc tcttgccgga atgtcagccg aggcagggaa tgcgtggaca agtgcaacct 4380
tctggagggt gagccaaggg agtttgtgga gaactctgag tgcatacagt gccacccaga 4440
gtgcctgcct caggccatga acatcacctg cacaggacgg ggaccagaca actgtatcca 4500
gtgtgcccac tacattgacg gcccccactg cgtcaagacc tgcccggcag gagtcatggg 4560
agaaaacaac accctggtct ggaagtacgc agacgccggc catgtgtgcc acctgtgcca 4620
tccaaactgc acctacggat gcactgggcc aggtcttgaa ggctgtccaa cgaatgggcc 4680
taagatcccg tccatcgcca ctgggatggt gggggccctc ctcttgctgc tggtggtggc 4740
cctggggatc ggcctcttca tgggatctgg agccacgaac ttctctctgt taaagcaagc 4800
aggagacgtg gaagaaaacc ccggtcctat gctcgaggga gtgcaggtgg aaaccatctc 4860
cccaggagac gggcgcacct tccccaagcg cggccagacc tgcgtggtgc actacaccgg 4920
gatgcttgaa gatggaaaga aagttgattc ctcccgggac agaaacaagc cctttaagtt 4980
tatgctaggc aagcaggagg tgatccgagg ctgggaagaa ggggttgccc agatgagtgt 5040
gggtcagaga gccaaactga ctatatctcc agattatgcc tatggtgcca ctgggcaccc 5100
aggcatcatc ccaccacatg ccactctcgt cttcgatgtg gagcttctaa aactggaatc 5160
tggcggtgga tccggagtcg acggatttgg tgatgtcggt gctcttgaga gtttgagggg 5220
aaatgcagat ttggcttaca tcctgagcat ggagccctgt ggccactgcc tcattatcaa 5280
caatgtgaac ttctgccgtg agtccgggct ccgcacccgc actggctcca acatcgactg 5340
tgagaagttg cggcgtcgct tctcctcgct gcatttcatg gtggaggtga agggcgacct 5400
gactgccaag aaaatggtgc tggctttgct ggagctggcg cagcaggacc acggtgctct 5460
ggactgctgc gtggtggtca ttctctctca cggctgtcag gccagccacc tgcagttccc 5520
aggggctgtc tacggcacag atggatgccc tgtgtcggtc gagaagattg tgaacatctt 5580
caatgggacc agctgcccca gcctgggagg gaagcccaag ctctttttca tccaggcctg 5640
tggtggggag cagaaagacc atgggtttga ggtggcctcc acttcccctg aagacgagtc 5700
ccctggcagt aaccccgagc cagatgccac cccgttccag gaaggtttga ggaccttcga 5760
ccagctggac gccatatcta gtttgcccac acccagtgac atctttgtgt cctactctac 5820
tttcccaggt tttgtttcct ggagggaccc caagagtggc tcctggtacg ttgagaccct 5880
ggacgacatc tttgagcagt gggctcactc tgaagacctg cagtccctcc tgcttagggt 5940
cgctaatgct gtttcggtga aagggattta taaacagatg cctggttgct ttaatttcct 6000
ccggaaaaaa cttttcttta aaacatcagt cgactatccg tacgacgtac cagactacgc 6060
actcgactaa acaatcaacc tctggattac aaaatttgtg aaagattgac tggtattctt 6120
aactatgttg ctccttttac gctatgtgga tacgctgctt taatgccttt gtatcatgct 6180
attgcttccc gtatggcttt cattttctcc tccttgtata aatcctggtt gctgtctctt 6240
tatgaggagt tgtggcccgt tgtcaggcaa cgtggcgtgg tgtgcactgt gtttgctgac 6300
gcaaccccca ctggttgggg cattgccacc acctgtcagc tcctttccgg gactttcgct 6360
ttccccctcc ctattgccac ggcggaactc atcgccgcct gccttgcccg ctgctggaca 6420
ggggctcggc tgttgggcac tgacaattcc gtggtgttgt cggggaaatc atcgtccttt 6480
ccttggctgc tcgcctgtgt tgccacctgg attctgcgcg ggacgtcctt ctgctacgtc 6540
ccttcggccc tcaatccagc ggaccttcct tcccgcggcc tgctgccggc tctgcggcct 6600
cttccgcgtc ttcgccttcg ccctcagacg agtcggatct ccctttgggc cgcctccccg 6660
cctatcgata aaataaaaga ttttatttag tctccagaaa aaggggggaa tgaaagaccc 6720
cacctgtagg tttggcaagc tagcttaagt aacgccattt tgcaaggcat ggaaaataca 6780
taactgagaa tagagaagtt cagatcaagg ttaggaacag agagacagca gaatatgggc 6840
caaacaggat atctgtggta agcagttcct gccccggctc agggccaaga acagatggtc 6900
cccagatgcg gtcccgccct cagcagtttc tagagaacca tcagatgttt ccagggtgcc 6960
ccaaggacct gaaatgaccc tgtgccttat ttgaactaac caatcagttc gcttctcgct 7020
tctgttcgcg cgcttctgct ccccgagctc aataaaagag cccacaaccc ctcactcggc 7080
gcgccagtcc tccgatagac tgcgtcgccc gggtacccgt gtatccaata aaccctcttg 7140
cagttgcatc cgacttgtgg tctcgctgtt ccttgggagg gtctcctctg agtgattgac 7200
tacccgtcag cgggggtctt tcatgggtaa cagtttcttg aagttggaga acaacattct 7260
gagggtagga gtcgaatatt aagtaatcct gactcaatta gccactgttt tgaatccaca 7320
tactccaata ctcctgaaat agttcattat ggacagcgca gaagagctgg ggagaattaa 7380
ttcgtaatca tggtcatagc tgtttcctgt gtgaaattgt tatccgctca caattccaca 7440
caacatacga gccggaagca taaagtgtaa agcctggggt gcctaatgag tgagctaact 7500
cacattaatt gcgttgcgct cactgcccgc tttccagtcg ggaaacctgt cgtgccagct 7560
gcattaatga atcggccaac gcgcggggag aggcggtttg cgtattgggc gctcttccgc 7620
ttcctcgctc actgactcgc tgcgctcggt cgttcggctg cggcgagcgg tatcagctca 7680
ctcaaaggcg gtaatacggt tatccacaga atcaggggat aacgcaggaa agaacatgtg 7740
agcaaaaggc cagcaaaagg ccaggaaccg taaaaaggcc gcgttgctgg cgtttttcca 7800
taggctccgc ccccctgacg agcatcacaa aaatcgacgc tcaagtcaga ggtggcgaaa 7860
cccgacagga ctataaagat accaggcgtt tccccctgga agctccctcg tgcgctctcc 7920
tgttccgacc ctgccgctta ccggatacct gtccgccttt ctcccttcgg gaagcgtggc 7980
gctttctcat agctcacgct gtaggtatct cagttcggtg taggtcgttc gctccaagct 8040
gggctgtgtg cacgaacccc ccgttcagcc cgaccgctgc gccttatccg gtaactatcg 8100
tcttgagtcc aacccggtaa gacacgactt atcgccactg gcagcagcca ctggtaacag 8160
gattagcaga gcgaggtatg taggcggtgc tacagagttc ttgaagtggt ggcctaacta 8220
cggctacact agaaggacag tatttggtat ctgcgctctg ctgaagccag ttaccttcgg 8280
aaaaagagtt ggtagctctt gatccggcaa acaaaccacc gctggtagcg gtggtttttt 8340
tgtttgcaag cagcagatta cgcgcagaaa aaaaggatct caagaagatc ctttgatctt 8400
ttctacgggg tctgacgctc agtggaacga aaactcacgt taagggattt tggtcatgag 8460
attatcaaaa aggatcttca cctagatcct tttaaattaa aaatgaagtt ttaaatcaat 8520
ctaaagtata tatgagtaaa cttggtctga cagttaccaa tgcttaatca gtgaggcacc 8580
tatctcagcg atctgtctat ttcgttcatc catagttgcc tgactccccg tcgtgtagat 8640
aactacgata cgggagggct taccatctgg ccccagtgct gcaatgatac cgcgagaccc 8700
acgctcaccg gctccagatt tatcagcaat aaaccagcca gccggaaggg ccgagcgcag 8760
aagtggtcct gcaactttat ccgcctccat ccagtctatt aattgttgcc gggaagctag 8820
agtaagtagt tcgccagtta atagtttgcg caacgttgtt gccattgcta caggcatcgt 8880
ggtgtcacgc tcgtcgtttg gtatggcttc attcagctcc ggttcccaac gatcaaggcg 8940
agttacatga tcccccatgt tgtgcaaaaa agcggttagc tccttcggtc ctccgatcgt 9000
tgtcagaagt aagttggccg cagtgttatc actcatggtt atggcagcac tgcataattc 9060
tcttactgtc atgccatccg taagatgctt ttctgtgact ggtgagtact caaccaagtc 9120
attctgagaa tagtgtatgc ggcgaccgag ttgctcttgc ccggcgtcaa tacgggataa 9180
taccgcgcca catagcagaa ctttaaaagt gctcatcatt ggaaaacgtt cttcggggcg 9240
aaaactctca aggatcttac cgctgttgag atccagttcg atgtaaccca ctcgtgcacc 9300
caactgatct tcagcatctt ttactttcac cagcgtttct gggtgagcaa aaacaggaag 9360
gcaaaatgcc gcaaaaaagg gaataagggc gacacggaaa tgttgaatac tcatactctt 9420
cctttttcaa tattattgaa gcatttatca gggttattgt ctcatgagcg gatacatatt 9480
tgaatgtatt tagaaaaata aacaaatagg ggttccgcgc acatttcccc gaaaagtgcc 9540
acctgacgtc taagaaacca ttattatcat gacattaacc tataaaaata ggcgtatcac 9600
gaggcccttt cgtctcgcgc gtttcggtga tgacggtgaa aacctctgac acatgcagct 9660
cccggagacg gtcacagctt gtctgtaagc ggatgccggg agcagacaag cccgtcaggg 9720
cgcgtcagcg ggtgttggcg ggtgtcgggg ctggcttaac tatgcggcat cagagcagat 9780
tgtactgaga gtgcaccata tgcggtgtga aataccgcac agatgcgtaa ggagaaaata 9840
ccgcatcagg cgccattcgc cattcaggct gcgcaactgt tgggaagggc gatcggtgcg 9900
ggcctcttcg ctattacgcc agctggcgaa agggggatgt gctgcaaggc gattaagttg 9960
ggtaacgcca gggttttccc agtcacgacg ttgtaaaacg acggcgcaag gaatggtgca 10020
tgcaaggaga tggcgcccaa cagtcccccg gccacggggc ctgccaccat acccacgccg 10080
aaacaagcgc tcatgagccc gaagtggcga gcccgatctt ccccatcggt gatgtcggcg 10140
atataggcgc cagcaaccgc acctgtggcg ccggtgatgc cggccacgat gcgtccggcg 10200
tagaggcgat tagtccaatt tgttaaagac aggatatcag tggtccaggc tctagttttg 10260
actcaacaat atcaccagct gaagcctata gagtacgagc catagataaa ataaaagatt 10320
ttatttagtc tccagaaaaa ggggggaa 10348
<210> 34
<211> 109
<212> PRT
<213> Artificial Sequence
<220>
<223> First coding sequence (VH for TCR V-beta)
<400> 34
Asp Ile Gln Met Thr Gln Ser Pro Ser Ser Leu Ser Ala Ser Leu Gly
1 5 10 15
Gly Lys Val Thr Leu Thr Cys Lys Ala Ser Gln Asp Ile Asn Lys Tyr
20 25 30
Ile Ala Trp Tyr Gln His Lys Pro Gly Lys Gly Pro Arg Leu Leu Ile
35 40 45
His Tyr Thr Ser Thr Leu Gln Pro Gly Ile Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Arg Asp Tyr Ser Phe Ser Ile Ser Asn Leu Glu Pro
65 70 75 80
Glu Asp Val Ala Thr Tyr Tyr Cys Leu Gln Tyr Asp Asn Leu Arg Thr
85 90 95
Phe Gly Gly Gly Thr Lys Leu Glu Ile Lys Arg Thr Asp
100 105
<210> 35
<211> 327
<212> DNA
<213> Artificial Sequence
<220>
<223> First coding sequence (VH for TCR V-beta)
<400> 35
gacatccaga tgacacagag ccctagcagc ctgtctgcct ctctcggcgg aaaagtgacc 60
ctgacatgca aggccagcca ggacatcaac aagtatatcg cctggtatca gcacaagccc 120
ggcaagggac ctagactgct gatccactac accagcacac tgcagcctgg catccccagc 180
agattttctg gcagcggctc cggcagagac tacagcttca gcatcagcaa cctggaacct 240
gaggacgtgg ccacctacta ctgcctgcag tacgacaacc tgcggacctt tggcggcgga 300
acaaagctgg aaatcaagcg gacagat 327
<210> 36
<211> 10336
<212> DNA
<213> Artificial Sequence
<220>
<223> Vector (CARTVb7.1: CARTVb7.1-tEGFR-iC9)
<400> 36
tgaaagaccc cacctgtagg tttggcaagc tagcttaagt aacgccattt tgcaaggcat 60
ggaaaataca taactgagaa tagagaagtt cagatcaagg ttaggaacag agagacagca 120
gaatatgggc caaacaggat atctgtggta agcagttcct gccccggctc agggccaaga 180
acagatggtc cccagatgcg gtcccgccct cagcagtttc tagagaacca tcagatgttt 240
ccagggtgcc ccaaggacct gaaatgaccc tgtgccttat ttgaactaac caatcagttc 300
gcttctcgct tctgttcgcg cgcttctgct ccccgagctc aataaaagag cccacaaccc 360
ctcactcggc gcgccagtcc tccgatagac tgcgtcgccc gggtacccgt attcccaata 420
aagcctcttg ctgtttgcat ccgaatcgtg gactcgctga tccttgggag ggtctcctca 480
gattgattga ctgcccacct cgggggtctt tcatttggag gttccaccga gatttggaga 540
cccctgccca gggaccaccg acccccccgc cgggaggtaa gctggccagc ggtcgtttcg 600
tgtctgtctc tgtctttgtg cgtgtttgtg ccggcatcta atgtttgcgc ctgcgtctgt 660
actagttagc taactagctc tgtatctggc ggacccgtgg tggaactgac gagttctgaa 720
cacccggccg caaccctggg agacgtccca gggactttgg gggccgtttt tgtggcccga 780
cctgaggaag ggagtcgatg tggaatccga ccccgtcagg atatgtggtt ctggtaggag 840
acgagaacct aaaacagttc ccgcctccgt ctgaattttt gctttcggtt tggaaccgaa 900
gccgcgcgtc ttgtctgctg cagcgctgca gcatcgttct gtgttgtctc tgtctgactg 960
tgtttctgta tttgtctgaa aattagggcc agactgttac cactccctta agtttgacct 1020
taggtcactg gaaagatgtc gagcggatcg ctcacaacca gtcggtagat gtcaagaaga 1080
gacgttgggt taccttctgc tctgcagaat ggccaacctt taacgtcgga tggccgcgag 1140
acggcacctt taaccgagac ctcatcaccc aggttaagat caaggtcttt tcacctggcc 1200
cgcatggaca cccagaccag gtcccctaca tcgtgacctg ggaagccttg gcttttgacc 1260
cccctccctg ggtcaagccc tttgtacacc ctaagcctcc gcctcctctt cctccatccg 1320
ccccgtctct cccccttgaa cctcctcgtt cgaccccgcc tcgatcctcc ctttatccag 1380
ccctcactcc ttctctaggc gccggaatta gatctctcga ggttaacgaa ttctaccggg 1440
taggggaggc gcttttccca aggcagtctg gagcatgcgc tttagcagcc ccgctgggca 1500
cttggcgcta cacaagtggc ctctggcctc gcacacattc cacatccacc ggtaggcgcc 1560
aaccggctcc gttctttggt ggccccttcg cgccaccttc tactcctccc ctagtcagga 1620
agttcccccc cgccccgcag ctcgcgtcgt gcaggacgtg acaaatggaa gtagcacgtc 1680
tcactagtct cgtgcagatg gacagcaccg ctgagcaatg gaagcgggta ggcctttggg 1740
gcagcggcca atagcagctt tgctccttcg ctttctgggc tcagaggctg ggaaggggtg 1800
ggtccggggg cgggctcagg ggcgggctca ggggcggggc gggcgcccga aggtcctccg 1860
gaggcccggc attctgcacg cttcaaaagc gcacgtctgc cgcgctgttc tcctcttcct 1920
cattctccgg gcctttcgac ctgcagccca agccaccatg gctctgcctg ttacagctct 1980
gctgctgcct ctggctctgc ttctgcatgc cgccagacct gacatccaga tgacacagag 2040
ccctagcagc ctgtctgcct ctctcggcgg aaaagtgacc ctgacatgca aggccagcca 2100
ggacatcaac aagtatatcg cctggtatca gcacaagccc ggcaagggac ctagactgct 2160
gatccactac accagcacac tgcagcctgg catccccagc agattttctg gcagcggctc 2220
cggcagagac tacagcttca gcatcagcaa cctggaacct gaggacgtgg ccacctacta 2280
ctgcctgcag tacgacaacc tgcggacctt tggcggcgga acaaagctgg aaatcaagcg 2340
gacagatggc ggaggcggat caggcggcgg aggaagcggt ggcggaggat ctcaagttca 2400
gctgcaacag cctggcgccg agcttgtgaa acctggcgcc tctgtgaaga tgagctgcaa 2460
ggcctccggc tacaccttca ccagatactg gatcacctgg gtcaagcaga ggcctggaca 2520
gggactcgag tggatcggcg atatctatcc tggctccggc ttcaccaagt acaacgagaa 2580
gttcaagagc aaggccacac tgaccgtgga caccagcagc agcacagcct acatgcagct 2640
gtctagcctg accagcgagg acagcgccgt gtactactgt gctagagaag gcggcaacta 2700
ctggtacttc gacgtgtggg gcaccggcac cacagtgaca gttagttctg cggccgcggc 2760
cgcattcgtg ccggtcttcc tgccagcgaa gcccaccacg acgccagcgc cgcgaccacc 2820
aacaccggcg cccaccatcg cgtcgcagcc cctgtccctg cgcccagagg cgtgccggcc 2880
agcggcgggg ggcgcagtgc acacgagggg gctggacttc gcctgtgata tctacatctg 2940
ggcgcccttg gccgggactt gtggggtcct tctcctgtca ctggttatca ccctttactg 3000
caaccacagg aacaggagta agaggagcag gctcctgcac agtgactaca tgaacatgac 3060
tccccgccgc cccgggccca cccgcaagca ttaccagccc tatgccccac cacgcgactt 3120
cgcagcctat cgctcccgtt tctctgttgt taaacggggc agaaagaagc tcctgtatat 3180
attcaaacaa ccatttatga gaccagtaca aactactcaa gaggaagatg gctgtagctg 3240
ccgatttcca gaagaagaag aaggaggatg tgaactgaga gtgaagttca gcaggagcgc 3300
agacgccccc gcgtaccagc agggccagaa ccagctctat aacgagctca atctaggacg 3360
aagagaggag tacgatgttt tggacaagag acgtggccgg gaccctgaga tggggggaaa 3420
gccgagaagg aagaaccctc aggaaggcct gtacaatgaa ctgcagaaag ataagatggc 3480
ggaggcctac agtgagattg ggatgaaagg cgagcgccgg aggggcaagg ggcacgatgg 3540
cctttaccag ggtctcagta cagccaccaa ggacacctac gacgcccttc acatgcaggc 3600
cctgccccct cgcggatccg gagccacgaa cttctctctg ttaaagcaag caggagacgt 3660
ggaagaaaac cccggtccta tgcttctcct ggtgacaagc cttctgctct gtgagttacc 3720
acacccagca ttcctcctga tcccacgcaa agtgtgtaac ggaataggta ttggtgaatt 3780
taaagactca ctctccataa atgctacgaa tattaaacac ttcaaaaact gcacctccat 3840
cagtggcgat ctccacatcc tgccggtggc atttaggggt gactccttca cacatactcc 3900
tcctctggat ccacaggaac tggatattct gaaaaccgta aaggaaatca cagggttttt 3960
gctgattcag gcttggcctg aaaacaggac ggacctccat gcctttgaga acctagaaat 4020
catacgcggc aggaccaagc aacatggtca gttttctctt gcagtcgtca gcctgaacat 4080
aacatccttg ggattacgct ccctcaagga gataagtgat ggagatgtga taatttcagg 4140
aaacaaaaat ttgtgctatg caaatacaat aaactggaaa aaactgtttg ggacctccgg 4200
tcagaaaacc aaaattataa gcaacagagg tgaaaacagc tgcaaggcca caggccaggt 4260
ctgccatgcc ttgtgctccc ccgagggctg ctggggcccg gaacccaggg actgcgtctc 4320
ttgccggaat gtcagccgag gcagggaatg cgtggacaag tgcaaccttc tggagggtga 4380
gccaagggag tttgtggaga actctgagtg catacagtgc cacccagagt gcctgcctca 4440
ggccatgaac atcacctgca caggacgggg accagacaac tgtatccagt gtgcccacta 4500
cattgacggc ccccactgcg tcaagacctg cccggcagga gtcatgggag aaaacaacac 4560
cctggtctgg aagtacgcag acgccggcca tgtgtgccac ctgtgccatc caaactgcac 4620
ctacggatgc actgggccag gtcttgaagg ctgtccaacg aatgggccta agatcccgtc 4680
catcgccact gggatggtgg gggccctcct cttgctgctg gtggtggccc tggggatcgg 4740
cctcttcatg ggatctggag ccacgaactt ctctctgtta aagcaagcag gagacgtgga 4800
agaaaacccc ggtcctatgc tcgagggagt gcaggtggaa accatctccc caggagacgg 4860
gcgcaccttc cccaagcgcg gccagacctg cgtggtgcac tacaccggga tgcttgaaga 4920
tggaaagaaa gttgattcct cccgggacag aaacaagccc tttaagttta tgctaggcaa 4980
gcaggaggtg atccgaggct gggaagaagg ggttgcccag atgagtgtgg gtcagagagc 5040
caaactgact atatctccag attatgccta tggtgccact gggcacccag gcatcatccc 5100
accacatgcc actctcgtct tcgatgtgga gcttctaaaa ctggaatctg gcggtggatc 5160
cggagtcgac ggatttggtg atgtcggtgc tcttgagagt ttgaggggaa atgcagattt 5220
ggcttacatc ctgagcatgg agccctgtgg ccactgcctc attatcaaca atgtgaactt 5280
ctgccgtgag tccgggctcc gcacccgcac tggctccaac atcgactgtg agaagttgcg 5340
gcgtcgcttc tcctcgctgc atttcatggt ggaggtgaag ggcgacctga ctgccaagaa 5400
aatggtgctg gctttgctgg agctggcgca gcaggaccac ggtgctctgg actgctgcgt 5460
ggtggtcatt ctctctcacg gctgtcaggc cagccacctg cagttcccag gggctgtcta 5520
cggcacagat ggatgccctg tgtcggtcga gaagattgtg aacatcttca atgggaccag 5580
ctgccccagc ctgggaggga agcccaagct ctttttcatc caggcctgtg gtggggagca 5640
gaaagaccat gggtttgagg tggcctccac ttcccctgaa gacgagtccc ctggcagtaa 5700
ccccgagcca gatgccaccc cgttccagga aggtttgagg accttcgacc agctggacgc 5760
catatctagt ttgcccacac ccagtgacat ctttgtgtcc tactctactt tcccaggttt 5820
tgtttcctgg agggacccca agagtggctc ctggtacgtt gagaccctgg acgacatctt 5880
tgagcagtgg gctcactctg aagacctgca gtccctcctg cttagggtcg ctaatgctgt 5940
ttcggtgaaa gggatttata aacagatgcc tggttgcttt aatttcctcc ggaaaaaact 6000
tttctttaaa acatcagtcg actatccgta cgacgtacca gactacgcac tcgactaaac 6060
aatcaacctc tggattacaa aatttgtgaa agattgactg gtattcttaa ctatgttgct 6120
ccttttacgc tatgtggata cgctgcttta atgcctttgt atcatgctat tgcttcccgt 6180
atggctttca ttttctcctc cttgtataaa tcctggttgc tgtctcttta tgaggagttg 6240
tggcccgttg tcaggcaacg tggcgtggtg tgcactgtgt ttgctgacgc aacccccact 6300
ggttggggca ttgccaccac ctgtcagctc ctttccggga ctttcgcttt ccccctccct 6360
attgccacgg cggaactcat cgccgcctgc cttgcccgct gctggacagg ggctcggctg 6420
ttgggcactg acaattccgt ggtgttgtcg gggaaatcat cgtcctttcc ttggctgctc 6480
gcctgtgttg ccacctggat tctgcgcggg acgtccttct gctacgtccc ttcggccctc 6540
aatccagcgg accttccttc ccgcggcctg ctgccggctc tgcggcctct tccgcgtctt 6600
cgccttcgcc ctcagacgag tcggatctcc ctttgggccg cctccccgcc tatcgataaa 6660
ataaaagatt ttatttagtc tccagaaaaa ggggggaatg aaagacccca cctgtaggtt 6720
tggcaagcta gcttaagtaa cgccattttg caaggcatgg aaaatacata actgagaata 6780
gagaagttca gatcaaggtt aggaacagag agacagcaga atatgggcca aacaggatat 6840
ctgtggtaag cagttcctgc cccggctcag ggccaagaac agatggtccc cagatgcggt 6900
cccgccctca gcagtttcta gagaaccatc agatgtttcc agggtgcccc aaggacctga 6960
aatgaccctg tgccttattt gaactaacca atcagttcgc ttctcgcttc tgttcgcgcg 7020
cttctgctcc ccgagctcaa taaaagagcc cacaacccct cactcggcgc gccagtcctc 7080
cgatagactg cgtcgcccgg gtacccgtgt atccaataaa ccctcttgca gttgcatccg 7140
acttgtggtc tcgctgttcc ttgggagggt ctcctctgag tgattgacta cccgtcagcg 7200
ggggtctttc atgggtaaca gtttcttgaa gttggagaac aacattctga gggtaggagt 7260
cgaatattaa gtaatcctga ctcaattagc cactgttttg aatccacata ctccaatact 7320
cctgaaatag ttcattatgg acagcgcaga agagctgggg agaattaatt cgtaatcatg 7380
gtcatagctg tttcctgtgt gaaattgtta tccgctcaca attccacaca acatacgagc 7440
cggaagcata aagtgtaaag cctggggtgc ctaatgagtg agctaactca cattaattgc 7500
gttgcgctca ctgcccgctt tccagtcggg aaacctgtcg tgccagctgc attaatgaat 7560
cggccaacgc gcggggagag gcggtttgcg tattgggcgc tcttccgctt cctcgctcac 7620
tgactcgctg cgctcggtcg ttcggctgcg gcgagcggta tcagctcact caaaggcggt 7680
aatacggtta tccacagaat caggggataa cgcaggaaag aacatgtgag caaaaggcca 7740
gcaaaaggcc aggaaccgta aaaaggccgc gttgctggcg tttttccata ggctccgccc 7800
ccctgacgag catcacaaaa atcgacgctc aagtcagagg tggcgaaacc cgacaggact 7860
ataaagatac caggcgtttc cccctggaag ctccctcgtg cgctctcctg ttccgaccct 7920
gccgcttacc ggatacctgt ccgcctttct cccttcggga agcgtggcgc tttctcatag 7980
ctcacgctgt aggtatctca gttcggtgta ggtcgttcgc tccaagctgg gctgtgtgca 8040
cgaacccccc gttcagcccg accgctgcgc cttatccggt aactatcgtc ttgagtccaa 8100
cccggtaaga cacgacttat cgccactggc agcagccact ggtaacagga ttagcagagc 8160
gaggtatgta ggcggtgcta cagagttctt gaagtggtgg cctaactacg gctacactag 8220
aaggacagta tttggtatct gcgctctgct gaagccagtt accttcggaa aaagagttgg 8280
tagctcttga tccggcaaac aaaccaccgc tggtagcggt ggtttttttg tttgcaagca 8340
gcagattacg cgcagaaaaa aaggatctca agaagatcct ttgatctttt ctacggggtc 8400
tgacgctcag tggaacgaaa actcacgtta agggattttg gtcatgagat tatcaaaaag 8460
gatcttcacc tagatccttt taaattaaaa atgaagtttt aaatcaatct aaagtatata 8520
tgagtaaact tggtctgaca gttaccaatg cttaatcagt gaggcaccta tctcagcgat 8580
ctgtctattt cgttcatcca tagttgcctg actccccgtc gtgtagataa ctacgatacg 8640
ggagggctta ccatctggcc ccagtgctgc aatgataccg cgagacccac gctcaccggc 8700
tccagattta tcagcaataa accagccagc cggaagggcc gagcgcagaa gtggtcctgc 8760
aactttatcc gcctccatcc agtctattaa ttgttgccgg gaagctagag taagtagttc 8820
gccagttaat agtttgcgca acgttgttgc cattgctaca ggcatcgtgg tgtcacgctc 8880
gtcgtttggt atggcttcat tcagctccgg ttcccaacga tcaaggcgag ttacatgatc 8940
ccccatgttg tgcaaaaaag cggttagctc cttcggtcct ccgatcgttg tcagaagtaa 9000
gttggccgca gtgttatcac tcatggttat ggcagcactg cataattctc ttactgtcat 9060
gccatccgta agatgctttt ctgtgactgg tgagtactca accaagtcat tctgagaata 9120
gtgtatgcgg cgaccgagtt gctcttgccc ggcgtcaata cgggataata ccgcgccaca 9180
tagcagaact ttaaaagtgc tcatcattgg aaaacgttct tcggggcgaa aactctcaag 9240
gatcttaccg ctgttgagat ccagttcgat gtaacccact cgtgcaccca actgatcttc 9300
agcatctttt actttcacca gcgtttctgg gtgagcaaaa acaggaaggc aaaatgccgc 9360
aaaaaaggga ataagggcga cacggaaatg ttgaatactc atactcttcc tttttcaata 9420
ttattgaagc atttatcagg gttattgtct catgagcgga tacatatttg aatgtattta 9480
gaaaaataaa caaatagggg ttccgcgcac atttccccga aaagtgccac ctgacgtcta 9540
agaaaccatt attatcatga cattaaccta taaaaatagg cgtatcacga ggccctttcg 9600
tctcgcgcgt ttcggtgatg acggtgaaaa cctctgacac atgcagctcc cggagacggt 9660
cacagcttgt ctgtaagcgg atgccgggag cagacaagcc cgtcagggcg cgtcagcggg 9720
tgttggcggg tgtcggggct ggcttaacta tgcggcatca gagcagattg tactgagagt 9780
gcaccatatg cggtgtgaaa taccgcacag atgcgtaagg agaaaatacc gcatcaggcg 9840
ccattcgcca ttcaggctgc gcaactgttg ggaagggcga tcggtgcggg cctcttcgct 9900
attacgccag ctggcgaaag ggggatgtgc tgcaaggcga ttaagttggg taacgccagg 9960
gttttcccag tcacgacgtt gtaaaacgac ggcgcaagga atggtgcatg caaggagatg 10020
gcgcccaaca gtcccccggc cacggggcct gccaccatac ccacgccgaa acaagcgctc 10080
atgagcccga agtggcgagc ccgatcttcc ccatcggtga tgtcggcgat ataggcgcca 10140
gcaaccgcac ctgtggcgcc ggtgatgccg gccacgatgc gtccggcgta gaggcgatta 10200
gtccaatttg ttaaagacag gatatcagtg gtccaggctc tagttttgac tcaacaatat 10260
caccagctga agcctataga gtacgagcca tagataaaat aaaagatttt atttagtctc 10320
cagaaaaagg ggggaa 10336

Claims (39)

1. A method of isolating a MAIT cell, the method comprising:
(i) Providing Peripheral Blood Mononuclear Cells (PBMCs); and
(ii) The PBMCs are subjected to Magnetic Activated Cell Sorting (MACS) and/or Fluorescent Activated Cell Sorting (FACS) to separate the MAIT cells therefrom.
2. A method of producing a CAR-MAIT cell, the method comprising:
(i) Providing Peripheral Blood Mononuclear Cells (PBMCs);
(ii) MACS and/or FACS are performed on PBMCs to isolate MAIT cells therefrom;
(iii) Activating the isolated MAIT cells, optionally by contacting them with an anti-CD 3 and/or anti-CD 28 antibody; and
(iv) Transduction of activated MAIT cells with nucleic acid encoding a CAR, thereby producing CAR-MAIT cells.
3. The method of any one of the preceding claims, wherein the method comprises stimulating PBMCs prior to MACS and/or FACS of PBMCs.
4. The method of claim 3, wherein the stimulating step comprises contacting PBMCs: (a) an antigen comprising MR1/5-OP-RU or 5-OP-RU; and/or (b) a cytokine; preferably, the stimulating step comprises contacting PBMCs: (a) an antigen comprising MR1/5-OP-RU or 5-OP-RU; and (b) a cytokine.
5. The method of claim 4, wherein the cytokine is an interleukin.
6. The method of claim 4 or 5, wherein the cytokine is one or more interleukins selected from the group consisting of IL-2, IL-7, IL-12, IL-15, IL-18 and IL-23, or any combination thereof.
7. The method of claim 6, wherein the one or more interleukins comprise: (i) IL-2; (ii) IL-12 and IL-18; (iii) IL-2, IL-12 and IL-18; (iv) IL-12, IL-18 and IL-23; (v) IL-2, IL-12, IL-18 and IL-23, or (vi) IL-7, IL-15, IL-12 and IL-18.
8. The method of claim 6 or 7, wherein the one or more interleukins comprises a combination of IL-12, IL-18 and IL-23.
9. The method of any one of the preceding claims, wherein the method comprises MACS and FACS of PBMCs to isolate MAIT cells therefrom.
10. The method according to any one of the preceding claims, wherein the PBMCs are MACS followed by FACS.
11. The method of any one of the preceding claims, wherein the isolated MAIT cells are activated with an anti-CD 3 antibody.
12. The method of any one of the preceding claims, wherein the isolated MAIT cells are activated with an anti-CD 28 antibody.
13. The method of any one of claims 2 to 12, wherein step (iv) comprises transducing a MAIT cell with a nucleic acid encoding a Chimeric Antigen Receptor (CAR), optionally said transduction is performed by a virus or a retrovirus.
14. The method of claim 13, wherein the nucleic acid encodes a CAR that targets a CD4 antigen on a T cell.
15. The method of claim 13, wherein the nucleic acid encodes a CAR that targets at least one or more TCR Vbeta regions on a T cell.
16. The method of claim 15, wherein the one or more TCR Vbeta regions are (i) TCR Vbeta regions shown in table 1, and/or (ii) are selected from the group consisting of: vb 1, vb 2, vb 3, vb 5.1, vb 7.1, vb8, vb 12, vb 13.1, vb 17 and Vb 20.
17. The method of any one of the preceding claims, wherein the method comprises expanding CAR-MAIT cells in a subsequent step following step (iv).
18. The method of claim 17, wherein the step of amplifying the CAR-MAIT cells comprises harvesting the transduced CAR-MAIT cells one or two days after transduction; optionally wherein the harvested cells are contacted with an interleukin, preferably IL-2; optionally wherein the interleukin is in R10 medium.
19. A CAR-MAIT cell obtained or obtainable by the method according to any one of the preceding claims.
20. A mucosal associated constant T (MAIT) cell expressing a Chimeric Antigen Receptor (CAR).
21. The MAIT cell of claim 19 or 20, wherein the CAR-MAIT cell expresses a CAR that targets a CD4 antigen on a T cell, optionally wherein the CAR pair comprises a polypeptide substantially as set forth in SEQ ID No:1 or a variant or fragment thereof.
22. The MAIT cell of claim 19 or 20, wherein the CAR-MAIT cell expresses a CAR targeting the T Cell Receptor (TCR) β chain variable region (Vbeta) on a T cell; optionally (i) any one of the Vbeta regions as shown in table 1, or (ii) a plurality of T Cell Receptor (TCR) β chain variable regions (Vbeta) on T cells, optionally wherein the plurality of Vbeta regions is selected from a set of Vbeta regions shown in table 1, optionally wherein the plurality of TCR Vbeta regions are the same or different Vbeta regions.
23. The MAIT cell of claim 22, wherein the CAR targets one or more TCR Vbeta regions on a T cell selected from the group consisting of: vb 1, vb 2, vb 3, vb 5.1, vb 7.1, vb 8, vb 12, vb 13.1, vb 17 and Vb 20, optionally wherein the CAR pair comprises a sequence substantially as set forth in SEQ ID No:2 or a variant or fragment thereof.
24. The MAIT cell of any one of the preceding claims, wherein the CAR-MAIT cell comprises one or more coding sequences that allow the CAR-MAIT cell to be controllably or inductively eliminated.
25. The MAIT cell of claim 24, wherein the one or more coding sequences encode an Epidermal Growth Factor Receptor (EGFR) or a truncated epidermal growth factor receptor (tgfr), optionally wherein the one or more coding sequences comprise a sequence encoding a polypeptide substantially as set forth in SEQ ID No:22, or a fragment or variant thereof, and/or comprises a nucleotide sequence substantially as set forth in SEQ ID No:23 or a fragment or variant thereof.
26. The MAIT cell of claim 24 or 25, wherein the one or more coding sequences encode an inducible caspase 9 (iC 9), optionally wherein the one or more coding sequences comprise a sequence encoding a polypeptide substantially as set forth in SEQ ID No:24, or a fragment or variant thereof, and/or comprises a nucleotide sequence substantially as set forth in SEQ ID No:25 or a fragment or variant thereof.
27. A pharmaceutical composition comprising the MAIT cells of any one of claims 19 to 26 and a pharmaceutically acceptable excipient.
28. The MAIT cell according to any one of claims 19 to 26 or the pharmaceutical composition according to claim 27 for use in therapy.
29. The MAIT cell according to any one of claims 19 to 26 or the pharmaceutical composition according to claim 27 for use in (i) immunotherapy; (ii) treating, preventing or ameliorating cancer; (ii) treating, preventing or ameliorating a microbial infection; or (iv) treating, preventing or ameliorating an autoimmune disease.
30. The use of a MAIT cell according to any one of claims 19 to 26 or a pharmaceutical composition according to claim 27 for the treatment, prevention or amelioration of a T cell malignancy, optionally a solid or liquid tumor.
31. The MAIT cell according to any one of claims 19 to 26 or the pharmaceutical composition according to claim 27 for use according to claim 30, wherein the T cell malignancy is Peripheral T Cell Lymphoma (PTCL) or Cutaneous T Cell Lymphoma (CTCL).
32. The use of a MAIT cell according to any one of claims 19 to 26 or a pharmaceutical composition according to claim 27 for the use according to claim 31, wherein:
(i) The PTCL is a PTCL subtype selected from the group consisting of: adult T cell acute lymphocytic lymphoma or leukemia (ATL), enteropathy-associated lymphoma, hepatosplenic lymphoma, subcutaneous lipoteichthy lymphoma (SPTCL), precursor T cell acute lymphocytic lymphoma or leukemia, and angioimmunoblastic T cell lymphoma (AITL); and/or
(ii) The CTCL is a CTCL subtype selected from the group consisting of: mycosis Fungoides (MF), sezary Syndrome (SS), and cd4+ small and medium polymorphic T cell lymphoproliferative diseases.
33. The MAIT cell according to any one of claims 19 to 26 or the pharmaceutical composition according to claim 27 for use according to claim 29, wherein for the treatment, prevention or amelioration of (i) viral infections, optionally HIV, HBV, HTLV, EBV or HPV, (ii) bacterial infections, optionally TB, or (iii) fungal infections; or for the treatment, prevention or amelioration of autoimmune diseases such as systemic lupus erythematosus, rheumatoid arthritis or myasthenia gravis.
34. The use of the MAIT cell of any one of claims 19 to 26 or the pharmaceutical composition of claim 27 for any one of claims 28 to 33, wherein the use comprises triggering a sequence encoding a suicide protein, optionally wherein the method comprises administering an anti-EGFR antibody and/or a caspase-inducing drug (CID) to a subject.
35. A method of preparing the pharmaceutical composition of claim 27, the method comprising combining a therapeutically effective amount of the MAIT cells of any one of claims 19 to 26 with a pharmaceutically acceptable excipient.
36. A method of stimulating MAIT cells in a PBMC culture, the method comprising contacting the PBMC culture with: (a) an antigen comprising MR1/5-OP-RU or 5-OP-RU; and/or (b) one or more interleukins selected from the group consisting of IL-2, IL-7, IL-12, IL-15, IL-18 and IL-23, or any combination thereof.
37. The method of claim 36, wherein the method comprises contacting a PBMC culture with: (a) an antigen comprising MR1/5-OP-RU or 5-OP-RU; and (b) one or more interleukins selected from the group consisting of IL-2, IL-7, IL-12, IL-15, IL-18 and IL-23, or any combination thereof.
38. The method of claim 36 or 37, wherein the one or more interleukins is IL-12, IL-18 and/or IL-23.
39. The method of claim 38, wherein the one or more interleukins are IL-12, IL-18, and IL-23.
CN202280044139.9A 2021-04-21 2022-04-21 Chimeric antigen receptor T cells Pending CN117751181A (en)

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